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Organization

LATTICE EDUCATIONAL SERVICES

Active
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Organization

LATTICE EDUCATIONAL SERVICES

Active
Other names
Lattice Educational Services
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY ALCOTT (EXECUTIVE DIRECTOR)
(707) 571-1234
Entity
Organization

Contact information

Practice address
3273 AIRWAY DR STE A, SANTA ROSA, CA 95403-2080
(707) 571-1234
Mailing address
3273 AIRWAY DR STE A, SANTA ROSA, CA 95403-2080
(707) 571-1234

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
03/15/2019
Last updated
06/11/2019
About Stedi
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  • EDI platform