Individual
TERRI RIDDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
228 W CLAPIER ST, PHILADELPHIA, PA 19144-4102
(267) 257-5430
Mailing address
228 W CLAPIER ST, PHILADELPHIA, PA 19144-4102
(267) 257-5430
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH000245
PA
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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