Provider Demographics
NPI:1093386849
Name:TERLAND, BRITTANY (RBT)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:TERLAND
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6816 SOUTHPOINT PKWY STE 202
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-1701
Mailing Address - Country:US
Mailing Address - Phone:904-419-7792
Mailing Address - Fax:904-900-7732
Practice Address - Street 1:6816 SOUTHPOINT PKWY STE 202
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-1701
Practice Address - Country:US
Practice Address - Phone:904-419-7792
Practice Address - Fax:904-900-7732
Is Sole Proprietor?:No
Enumeration Date:2021-07-02
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RBT-21-169580106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician