| Terryficaba Llc | |
|
4 Langevin St Apt 11 Spencer MA 01562-2584 | |
| (774) 221-3002 | |
| (508) 507-9068 |
| Full Name | Terryficaba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4 Langevin St Apt 11, Spencer, Massachusetts |
| Authorized Official Name and Position | Victoria Muiru (CEO) |
| Authorized Official Contact | 7742253075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Terryficaba Llc 4 Langevin St Apt 11 Spencer MA 01562-2584 Ph: (774) 225-3075 | Terryficaba Llc 4 Langevin St Apt 11 Spencer MA 01562-2584 Ph: (774) 221-3002 |
| NPI Number | 1306679170 |
|---|---|
| Provider Enumeration Date | 08/26/2024 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306679170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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