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Latashra Childs

Behavior Technician in Raleigh, NC. Individual provider (NPI-1).

NPI number1235623638
StatusActive
Last updated in NPPESJun 19, 2018

Details

NPI
1235623638
Entity type
Individual (NPI-1)
Name
Latashra Childs
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 19, 2018
Last updated
Jun 19, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

5816 Creedmoor Rd Ste 104
Raleigh, NC 27612-2310

Phone 919-665-4673 · Fax 919-882-8348

Mailing address

5816 Creedmoor Rd Ste 104
Raleigh, NC 27612-2310

Phone 919-665-4673 · Fax 919-882-8348

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