Foster, Derrick

Foster, Derrick is an sole proprietor health care provider with primary practice located at 6201 Colleyville Blvd Ste 1Oo , Colleyville TX 76034-6236. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Foster, Derrick can be contacted via phone (817) 952-8917.

Contact Information

Primary practice address
6201 Colleyville Blvd Ste 1Oo Colleyville TX 76034-6236
Phone: (817) 952-8917
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-109493 Texas

Profile Details

NPI number 1669092763
LBN Legal business name Foster, Derrick
Credentials RBT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2020
Last updated Apr 20th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669092763 NPPES
Texas Other RBT-19-109493 NA

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