Individual
MRS. ALYSSA LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA, LBA
Contact information
Practice address
5210 THOUSAND OAKS DR STE 1301, SAN ANTONIO, TX 78233-6979
(726) 215-6448
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-23532
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164973764
NPPES
TX
Enumeration date
10/18/2016
Last updated
07/08/2026
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