Individual
DAVIA J INGRAM-TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 FAYETTEVILLE ST STE 110, RALEIGH, NC 27601-1792
(877) 418-2978
Mailing address
500 FAIRWAY DR STE 102, DEERFIELD BEACH, FL 33441-1817
(877) 418-2978
(866) 500-2186
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
NC
106E00000X
Assistant Behavior Analyst
—
NC
106S00000X
Behavior Technician
Primary
—
NC
Other
Enumeration date
03/24/2023
Last updated
03/30/2023
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