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Individual

MISS TERA RENEE MCNUTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
6660 DOUBLETREE AVE, COLUMBUS, OH 43229-1128
(614) 844-5433
(614) 547-8044
Mailing address
2 VILLAGE SQ STE 210, BALTIMORE, MD 21210-1624
(614) 844-5433
(614) 547-8044

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33739
OH

Other

Enumeration date
02/02/2017
Last updated
03/19/2024
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