Teryese Grant
Behavior Technician in Florence, SC. Individual provider (NPI-1).
NPI number1356830673
StatusActive
Last updated in NPPESMay 2, 2018
Details
- NPI
- 1356830673
- Entity type
- Individual (NPI-1)
- Name
- Teryese Grant
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 2, 2018
- Last updated
- May 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | 17-40773 | SC | Yes |
Practice location
500 2nd Loop Rd Ste 444Florence, SC 29505-2817
Phone 803-905-5107
Mailing address
2580 Lin DO CtSumter, SC 29150-1832
Phone 803-905-4427 · Fax 803-905-4431
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All 95 Behavior Technician providers in Florence · All 3,739 providers in Florence
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