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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TERA WENNER, BCBA

Active Sole Proprietor

TERA WENNER, BCBA is a Behavior Analyst healthcare provider located in SOUTH BELOIT, Illinois. NPI 1184168031 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · SOUTH BELOIT, IL

Registration Details

NPI Number
1184168031
Provider Type
Individual
Gender
Female
NPI Issued
Dec 12, 2016 (9.6761374250439 yrs)
Last Updated
Dec 12, 2016
License
1-10-7016
Sole Proprietor
Yes

Practice Information

Address
810 MARVIN ST
SOUTH BELOIT, IL, 610802247
Browse IL providers · Browse ZIP 61080
Phone
8158719222
Primary Specialty
Behavior Analyst
103K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.