NPI 1205522893

Derek Dube

Practitioner Behavior Technician Pawtucket, RI

Practice location

Address: 372 Vine St, Pawtucket, RI 02861-2703
Phone: (914) 338-2564

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Rhode Island →

Registry record

NPI: 1205522893
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Apr 2023
Record last updated: 17 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.