Individual
DIANNA TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4505 82ND ST STE 5, LUBBOCK, TX 79424-3219
(806) 317-1071
Mailing address
4505 82ND ST STE 5, LUBBOCK, TX 79424-3219
(806) 317-1071
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB238083
TX
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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