Latasha Amando
Behavior Technician in Detroit, MI. Individual provider (NPI-1).
NPI number1619763349
StatusActive
Last updated in NPPESOct 10, 2025
Details
- NPI
- 1619763349
- Entity type
- Individual (NPI-1)
- Name
- Latasha Amando
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 18, 2025
- Certification date
- Oct 10, 2025
- Last updated
- Oct 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 175T00000X | Peer Specialist | – | MI |
Practice location
13803 Collingham DrDetroit, MI 48205-1212
Phone 586-216-2003
Mailing address
13803 Collingham DrDetroit, MI 48205-1212
Phone 586-216-2003
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