Individual
LEDAVIAH TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2051 EBENEZER RD STE A, ROCK HILL, SC 29732-1015
(803) 386-7523
Mailing address
2051 EBENEZER RD STE A, ROCK HILL, SC 29732-1015
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBTA-25-441151
SC
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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