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Terence Outland Jr.

Behavior Technician in Long Beach, CA. Individual provider (NPI-1).

NPI number1962393348
StatusActive
Last updated in NPPESJul 14, 2025

Details

NPI
1962393348
Entity type
Individual (NPI-1)
Name
Terence Outland Jr.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 14, 2025
Certification date
Jul 14, 2025
Last updated
Jul 14, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1761 Park Ave Apt P
Long Beach, CA 90815-3850

Phone 949-813-8316

Mailing address

1761 Park Ave Apt P
Long Beach, CA 90815-3850

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