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Individual
MR. TERRANCE LAMAR WHITE
Active
Individual
MR. TERRANCE LAMAR WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RBT
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-177025
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-21-177025
BEHAVIOR ANALYST CERFICATION BOARD
—
Enumeration date
07/22/2021
Last updated
07/22/2021
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