Individual
TERALYNN VALLERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
11813 ROAD 27.1, DOLORES, CO 81323-9247
(970) 779-0699
Mailing address
11813 ROAD 27.1, DOLORES, CO 81323-9247
(970) 779-0699
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-46155
CO
Other
Enumeration date
11/30/2016
Last updated
01/12/2021
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