Provider Demographics
NPI:1346955580
Name:HOWARD, TERRA J
Entity Type:Individual
Prefix:
First Name:TERRA
Middle Name:J
Last Name:HOWARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27502 AVENUE SCOTT
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-3911
Mailing Address - Country:US
Mailing Address - Phone:661-670-2999
Mailing Address - Fax:
Practice Address - Street 1:27502 AVENUE SCOTT
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91355-3911
Practice Address - Country:US
Practice Address - Phone:661-670-2999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-23
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician