Organization
TERI, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL KILMER (EXECUTIVE DIRECTOR)
(760) 721-1706
Entity
Organization
Contact information
Practice address
251 AIRPORT RD, OCEANSIDE, CA 92058-1201
(760) 721-1706
(760) 721-9872
Mailing address
251 AIRPORT RD, OCEANSIDE, CA 92058-1201
(760) 721-1706
(760) 721-9872
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
—
—
310500000X
Mental Illness Intermediate Care Facility
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LTC60036F
—
CA
05
—
LTC60037F
—
CA
05
—
LTC60038F
—
CA
05
—
LTC60039F
—
CA
05
—
LTC60097F
—
CA
05
—
LTC60100F
—
CA
05
—
LTC60324F
—
CA
05
—
LTC60482F
—
CA
05
—
LTC60524F
—
CA
05
—
LTC61079F
—
CA
Enumeration date
12/20/2005
Last updated
09/28/2018
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