Derrick Ace Phommachit
Derrick Ace Phommachit is a Behavior Technician in Newark, California. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
39899 Balentine Dr Ste 110Newark, CA 94560-5356
Phone: (855) 223-7123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1467214403 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 25, 2024 |
| Last updated in NPPES | January 25, 2024 |
| Certification date | January 25, 2024 |
| Mailing address | Po Box 33568, San Diego, CA 92163-3568 |
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