Liberty, Derrick

Liberty, Derrick is an individual health care provider with primary practice located at 13601 N Litchfield Rd Ste 124 , Surprise AZ 85379-4260. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Liberty, Derrick can be contacted via phone (623) 322-8250.

Contact Information

Primary practice address
13601 N Litchfield Rd Ste 124 Surprise AZ 85379-4260
Phone: (623) 322-8250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-21-185940 Arizona
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-21-185940

Profile Details

NPI number 1932841319
LBN Legal business name Liberty, Derrick
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2022
Last updated Apr 7th, 2022 - about 3 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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