Mr. Terrell W Liedstrand
Mr. Terrell W Liedstrand is a Behavior Technician in Stockton, California. Licensed in California. Registered with an NPI since 2021.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
1811 Grand Canal Blvd Ste 2Stockton, CA 95207-8107
Phone: (510) 338-2351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (CA) |
|---|
Record details
| NPI number | 1093385734 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 25, 2021 |
| Last updated in NPPES | June 25, 2021 |
| Certification date | June 25, 2021 |
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