Dube, Derek

Dube, Derek is an individual health care provider with primary practice located at 372 Vine St , Pawtucket RI 02861-2703. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Dube, Derek can be contacted via phone (914) 338-2564.

Contact Information

Primary practice address
372 Vine St Pawtucket RI 02861-2703
Phone: (914) 338-2564
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1205522893
LBN Legal business name Dube, Derek
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2023
Last updated Apr 17th, 2023 - about 2 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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