TERRA LYNN MICKENS

SAN JOSE, CA
NPI1669930335
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2019-03-12
Last Update Date2022-02-09
Business Address
TERRA LYNN MICKENS
6203 SAN IGNACIO AVE
SAN JOSE, CA 95119-1371
Phone number: 855-832-6727
Mailing Address
TERRA LYNN MICKENS
7108 S KANNER HWY
STUART, FL 34997-7462
Phone number: 855-832-6727