Derick Kumba Chi, BA is a
Behavior Technician based in Farmington Hills, Michigan. Derick Kumba Chi is licensed to practice in * (Not Available) (license number ) and his current practice location is
27777 Inkster Rd, Farmington Hills, Michigan. He can be reached at his office (for appointments etc.) via phone at
(248) 436-4400.
NPI number for Derick Kumba Chi is 1710202130 and his current mailing address is 8901 N Olie Ave, Apt 4, Oklahoma City, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710202130.
Healthcare Provider's Profile
| Full Name | Derick Kumba Chi |
|---|
| Gender | Male |
|---|
| Speciality | Behavior Technician |
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| Location | 27777 Inkster Rd, Farmington Hills, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710202130
- Provider Enumeration Date: 03/29/2010
- Last Update Date: 07/18/2019
Medical Identifiers
Medical identifiers for Derick Kumba Chi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710202130 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (Oklahoma) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Derick Kumba Chi is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Derick Kumba Chi, BA 8901 N Olie Ave, Apt 4, Oklahoma City, OK 73114-2540 Ph: (240) 565-8223 | Derick Kumba Chi, BA 27777 Inkster Rd, Farmington Hills, MI 48334-5326 Ph: (248) 436-4400 |
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