Boutte, Derrick Terrell

Boutte, Derrick Terrell is an individual health care provider with primary practice located at 4688 Ontario Mills Pkwy , Ontario CA 91764-5104. He recently has only one registered license in Behavioral Health & Social Service Providers / Assistant Behavior Analyst, which is considered as his primary health care specialty. Boutte, Derrick Terrell can be contacted via phone (909) 476-5747.

Contact Information

Primary practice address
4688 Ontario Mills Pkwy Ontario CA 91764-5104
Phone: (909) 476-5747
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1407431208
LBN Legal business name Boutte, Derrick Terrell
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2021
Last updated Mar 12th, 2021 - about 5 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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