Derricka F De Jean
Derricka F De Jean is a Behavior Technician in Stockbridge, Georgia. Licensed in Georgia. Registered with an NPI since 2021.
- Licensed in
- GA
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
1233 Eagle Lndng Pkwy Ste A&bStockbridge, GA 30281-6399
Phone: (470) 231-1149
Fax: (615) 815-1946
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X · Licence 1-22-62360 (GA) |
|---|---|
| Behavior Technician | Taxonomy 106S00000X |
Record details
| NPI number | 1265104418 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 5, 2021 |
| Last updated in NPPES | November 14, 2022 |
| Certification date | November 14, 2022 |
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Khari R Davis
1233 Eagles Landing Pkwy, Stockbridge, GA 30281-6399 · (470) 231-1149
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