Individual
LATOYA GANTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 SHERMAN PL, IRVINGTON, NJ 07111-1434
(973) 573-5150
Mailing address
36 SHERMAN PL, IRVINGTON, NJ 07111-1434
(973) 573-5150
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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