Individual
CLINT TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
6640 PARKDALE PL STE R, INDIANAPOLIS, IN 46254-4698
(317) 383-0188
Mailing address
3006 EASTPOINT PKWY, LOUISVILLE, KY 40223-4185
(502) 795-0773
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-386134
IN
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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