Latoya Markisha Grim
Behavior Technician in Los Angeles, CA. Individual provider (NPI-1).
NPI number1548067366
StatusActive
Last updated in NPPESFeb 28, 2025
Details
- NPI
- 1548067366
- Entity type
- Individual (NPI-1)
- Name
- Latoya Markisha Grim
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 28, 2025
- Certification date
- Feb 27, 2025
- Last updated
- Feb 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CA | Yes |
Practice location
1634 E 122nd StLos Angeles, CA 90059-3028
Phone 323-787-5406
Mailing address
1634 E 122nd StLos Angeles, CA 90059-3028
Phone 323-787-5406
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