Terra Lynn Mickens
Terra Lynn Mickens is a Behavior Technician in San Jose, California. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
6203 San Ignacio AveSan Jose, CA 95119-1371
Phone: (855) 832-6727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1669930335 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 12, 2019 |
| Last updated in NPPES | February 9, 2022 |
| Certification date | February 9, 2022 |
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