Graham Terrell

Individual provider Active NPI Behavior Technician · Lillington, NC

NPI 1902639628 · NPPES record last updated Aug 20, 2024

Key facts

NPI
1902639628
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
172 Fisher Rd
Lillington, NC 27546-4838
Phone
(904) 907-0694
NPI assigned
Aug 20, 2024
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Values ABA Current
since Mar 11, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

172 Fisher Rd
Lillington, NC 27546-4838

Mailing address

PO Box 3635
Buies Creek, NC 27506-3635
Phone (904) 907-0694

Other providers in Lillington, NC

All providers in Lillington, NC · Behavior Technician in North Carolina

Sources for this page

Verify at the official NPI Registry.