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1962488007

NPI Code Detail

MEDICARE: TERI, INC

MEDICARE: TERI, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst
2	106S00000X	Behavior Technician
3	235Z00000X	Speech-Language Pathologist
4	310500000X	Mental Illness Intermediate Care Facility		CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1962488007
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TERI, INC

Provider Business Mailing Address
First Line	:	251 AIRPORT RD
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92058-1201
Country	:	US
Telephone Number	:	760-721-1706
Fax Number	:	760-721-9872

Provider Business Practice Location Address
First Line	:	251 AIRPORT RD
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92058-1201
Country	:	US
Telephone Number	:	760-721-1706
Fax Number	:	760-721-9872

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. CHERYL KILMER
Credential	:
Telephone Number	:	760-721-1706

Provider Enumeration Date	:	12/20/2005
Last Update Date	:	09/28/2018

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Directions to “TERI, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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