Individual
CALLIE AMANDA TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA-BCBA
Contact information
Practice address
490 S INTERSTATE 35 E, DENTON, TX 76205-7768
(940) 369-7426
(855) 217-6179
Mailing address
490 S INTERSTATE 35 E, DENTON, TX 76205-7768
(940) 369-7426
(855) 217-6179
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3673
TX
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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