Terry, Maggie

Terry, Maggie is an individual health care provider with primary practice located at 1887 Se Port St Lucie Blvd , Port St Lucie FL 34952-5530. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Terry, Maggie can be contacted via phone (772) 463-0444.

Contact Information

Primary practice address
1887 Se Port St Lucie Blvd Port St Lucie FL 34952-5530
Phone: (772) 463-0444
Fax: (772) 219-1339
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 11726634 Florida
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 11726634 Florida

Profile Details

NPI number 1790110088
LBN Legal business name Terry, Maggie
Credentials MA, BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2013
Last updated Sep 30th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790110088 NPPES
Florida MEDICAID 019608300

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