Individual
LATIFAH SLADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11821 QUEENS BLVD, FOREST HILLS, NY 11375-7201
(917) 743-2068
Mailing address
11821 QUEENS BLVD STE 612, FOREST HILLS, NY 11375-7206
(917) 743-2068
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/20/2024
Last updated
07/20/2024
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