Frederick Nicholas Derose
Frederick Nicholas Derose is a Behavior Technician in Dearborn, Michigan. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
1360 Porter StDearborn, MI 48124-2890
Phone: (313) 689-5188
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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 | 1063901981 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 7, 2018 |
| Last updated in NPPES | May 7, 2018 |
| Mailing address | 1360 Porter St, Dearborn, MI 48124-2890 |
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1360 Porter St, Dearborn, MI 48124-2890 · (313) 689-5188