Individual
LATOSHA NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1880 S UNION AVE STE C, OZARK, AL 36360-2944
(334) 443-1043
Mailing address
1880 S UNION AVE STE C, OZARK, AL 36360-2944
(334) 443-1043
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AL
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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