Individual
MRS. MISTY TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, BCBA
Contact information
Practice address
12800 CENTER LAKE DR, APT 613, AUSTIN, TX 78753-1082
(512) 590-9130
Mailing address
12800 CENTER LAKE DR, APT 613, AUSTIN, TX 78753-1082
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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