Derrick Childress Sr.
Derrick Childress Sr. is a Behavior Technician in San Antonio, Texas. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
20610 Pearl HarvestSan Antonio, TX 78259-2075
Phone: (844) 743-6506
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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 | 1639822554 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 31, 2022 |
| Last updated in NPPES | January 31, 2022 |
| Certification date | January 31, 2022 |
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