Charles Edward Terry III

NPI #1215683313 in Fairport, New York

Provider Information

NPI Number: 1215683313
Entity Type: Individual
Name: Charles Edward Terry III
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 28, 2022
Last Updated: Feb 28, 2022

Practice Location

Address: 6 N MAIN ST STE 110
City: Fairport
State: New York
ZIP Code: 14450-1581
Phone: (585) 377-6590

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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