Individual
TABITHA PEREZ TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4740 KINGSWAY DR, INDIANAPOLIS, IN 46205-1521
(317) 466-2001
(317) 466-2000
Mailing address
10731 BLUE SPRUCE DR, FISHERS, IN 46037-9269
(317) 447-3259
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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