RAELIN DEREVENCHA
Behavior Technician
Active
Individual
NPI: 1609479963
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Behavior Technician | 106S00000X | Yes | RBT-20-136384 (MO) |
Frequently Asked Questions
NPI 1609479963 is the National Provider Identifier for RAELIN DEREVENCHA, a Behavior Technician provider located in Nixa, MO. This NPI was enumerated on November 19, 2020.
RAELIN DEREVENCHA practices at 116 W SHERMAN WAY STE 1, Nixa, MO 65714.
Quick Facts
- NPI
- 1609479963
- Type
- Individual
- Enumerated
- Nov 19, 2020
- Last Updated
- Jul 26, 2021
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