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Derrick Cook

Behavior Technician in Davenport, IA. Individual provider (NPI-1).

NPI number1386581189
StatusActive
Last updated in NPPESApr 30, 2026

Details

NPI
1386581189
Entity type
Individual (NPI-1)
Name
Derrick Cook
Sole proprietor
No
Enumeration date
Apr 30, 2026
Certification date
Apr 30, 2026
Last updated
Apr 30, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

5354 Elmore Ave
Davenport, IA 52807-3859

Phone 574-387-4313

Mailing address

5354 Elmore Ave
Davenport, IA 52807-3859

Phone 574-387-4313

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