Individual
ALEXANDRA LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3428 W MARKET ST, FAIRLAWN, OH 44333-3339
(330) 668-4041
(330) 666-5626
Mailing address
3428 W MARKET ST, FAIRLAWN, OH 44333-3339
(330) 668-4041
(330) 666-5626
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
OH
Other
Enumeration date
01/11/2016
Last updated
04/03/2019
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