MEDICARE: JACQUELINE TERRY-BOSTIC

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	373H00000X	Day Training/Habilitation Specialist

General Provider Information

NPI Number	:	1437094158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACQUELINE TERRY-BOSTIC

Provider Business Mailing Address
First Line	:	1501 BELVEDERE RD STE 500
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-1524
Country	:	US
Telephone Number	:	728-226-4965
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 BELVEDERE RD STE 500
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33406-1524
Country	:	US
Telephone Number	:	728-226-4965
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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