Provider Demographics
NPI:1861857021
Name:TERRY, AMANDA CATHERINE (BA, MA)
Entity Type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:CATHERINE
Last Name:TERRY
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Gender:F
Credentials:BA, MA
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Mailing Address - Street 1:1 - CROW CANYON CT STE #100
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583
Mailing Address - Country:US
Mailing Address - Phone:888-531-8385
Mailing Address - Fax:925-264-1902
Practice Address - Street 1:800 S BROADWAY STE 310
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-5218
Practice Address - Country:US
Practice Address - Phone:888-531-8385
Practice Address - Fax:925-264-1902
Is Sole Proprietor?:No
Enumeration Date:2015-12-15
Last Update Date:2019-01-09
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst