MEDICARE: TERA ADAMS

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	106S00000X	Behavior Technician	RBT-26-512337

General Provider Information

NPI Number	:	1952252470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERA ADAMS

Provider Business Mailing Address
First Line	:	PO BOX 931142
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	31193-1142
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 FORBES DR
Second Line	:
City	:	HOPKINSVILLE
State	:	KY
Zip	:	42240-7200
Country	:	US
Telephone Number	:	270-215-5945
Fax Number	:

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

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “ TERA ADAMS ” Practice Location

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