Raelin C Derevencha
Raelin C Derevencha is a Behavior Technician in Nixa, Missouri. Licensed in Missouri. Registered with an NPI since 2020.
- Licensed in
- MO
- In the registry since
- 2020
Practice location Address checks out
116 W Sherman Way Ste 1Nixa, MO 65714-9022
Phone: (417) 298-0984
Fax: (417) 374-7158
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-20-136384 (MO) |
|---|
Record details
| NPI number | 1609479963 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 19, 2020 |
| Last updated in NPPES | July 26, 2021 |
| Certification date | July 26, 2021 |
Other providers in Nixa
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Kathryn Crawford
116 W Sherman Way Ste 1, Nixa, MO 65714-9022 · (417) 298-0984
-
Ashlea Marie Darling
116 W Sherman Way, Nixa, MO 65714-7620 · (417) 298-0984
-
Austin James, Robert Davis
705 E Gallup Hill Rd, Nixa, MO 65714-8864 · (833) 624-6385
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Jaclyn Anne Davis
116 W Sherman Way Ste 1, Nixa, MO 65714-9022 · (472) 298-0984
-
Mrs. Madison Ryley Dowler
116 W Sherman Way Ste 1, Nixa, MO 65714-9022 · (417) 298-0984
-
Seth Dowler
116 W Sherman Way Ste 1, Nixa, MO 65714-9022 · (417) 298-0984
-
Morgan Lee Duffy
116 W Sherman Way Ste 1, Nixa, MO 65714-9022 · (417) 298-0984
-
Abby Dycus
116 W Sherman Way Ste 1, Nixa, MO 65714-9022 · (417) 298-0984