Individual
LATASGIA MCCORVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
820 S UNIVERSITY BLVD, MOBILE, AL 36609-7858
(251) 340-2020
(251) 340-2067
Mailing address
820 S UNIVERSITY BLVD, MOBILE, AL 36609-7858
(251) 340-2020
(251) 340-2067
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-247649
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-22-247649
REGISTERED BEHAVIORAL TECHNICIAN
AL
Enumeration date
12/15/2022
Last updated
12/15/2022
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