Derek James Dejonker Valid NPI
Individual provider · Behavior Technician · Rogers, MN
- NPI
- 1962254490
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Technician
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106S00000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2024-04-05
- Last updated
- 2024-04-05
Practice location
14000 Northdale Blvd Ste A
Rogers, MN 55374-4663
(763) 428-2478