Look up the most recent NPI and PECOS records

Davia J Ingram-Terry

Behavior Technician

Behavioral Health & Social Service Providers

421 Fayetteville St Ste 110, Raleigh, NC 27601-1792

PECOS Enrollment

Based on the most recent information from CMS, provider Davia J Ingram-Terry does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1225731631
Provider Type
Individual
Full Name
Ingram-Terry, Davia J
Gender
Female

Sole Proprietor
No
Enumeration Date
3/24/2023
Last Updated
3/30/2023

Contact Information

Practice Location

421 Fayetteville St Ste 110, Raleigh, NC 27601-1792

(877) 418-2978

Unlisted Fax

Mailing Location

500 Fairway Dr Ste 102, Deerfield Beach, FL 33441-1817

(877) 418-2978

(866) 500-2186

Provider Taxonomies

Code	Description	License
Code 106S00000X Primary	Description Behavior Technician Behavioral Health & Social Service Providers	License Unlisted Issuer North Carolina
Code 103K00000X	Description Behavior Analyst Behavioral Health & Social Service Providers	License Unlisted Issuer North Carolina
Code 106E00000X	Description Assistant Behavior Analyst Behavioral Health & Social Service Providers	License Unlisted Issuer North Carolina

Davia J Ingram-Terry

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Greaves, Bonnie

Lewis, Indaysha

Siler, Teyja

Dykstra, Carolyn Marie

Edwards, Jennifer

Dickerson, Courtney R

Hill, Brandie

Santiago-Gomez, Annette

Washington, Shakia M

Morgan, Tansania