Individual
ALEAH TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 N MAIN ST, ENTERPRISE, AL 36330-2539
(334) 350-0711
Mailing address
PO BOX 620313, FORT RUCKER, AL 36362-0313
(785) 492-8191
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20-148621
AL
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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