Derrera, Desire Sally

Derrera, Desire Sally is an individual health care provider with primary practice located at 12125 Day St Ste 301 , Moreno Valley CA 92557-6702. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Derrera, Desire Sally can be contacted via phone (951) 344-2166.

Contact Information

Primary practice address
12125 Day St Ste 301 Moreno Valley CA 92557-6702
Phone: (951) 344-2166
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X F3612422 California

Profile Details

NPI number 1063068336
LBN Legal business name Derrera, Desire Sally
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2019
Last updated Aug 13th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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