Andre Terrell
Behavior Technician in Cantonment, FL. Individual provider (NPI-1).
NPI number1164045530
StatusActive
Last updated in NPPESMay 20, 2020
Details
- NPI
- 1164045530
- Entity type
- Individual (NPI-1)
- Name
- Andre Terrell
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 20, 2020
- Certification date
- May 20, 2020
- Last updated
- May 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3771 Stefani RdCantonment, FL 32533-7795
Phone 850-607-6910 · Fax 850-607-6932
Mailing address
3771 Stefani Rd Fl 32533Cantonment, FL 32533-7795
Phone 850-607-6910
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