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Michael Latella

Behavior Technician in Winder, GA. Individual provider (NPI-1).

NPI number1841069283
StatusActive
Last updated in NPPESDec 27, 2023

Details

NPI
1841069283
Entity type
Individual (NPI-1)
Name
Michael Latella
Sex
Male
Sole proprietor
No
Enumeration date
Dec 27, 2023
Certification date
Dec 27, 2023
Last updated
Dec 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

407 Tori Dr Ste 2
Winder, GA 30680-5209

Phone 770-800-0891

Mailing address

407 Tori Dr Ste 2
Winder, GA 30680-5209

Phone 770-800-0891

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