Individual
MISS LATONYA LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9530 PERRY HALL BLVD APT 202, NOTTINGHAM, MD 21236-1337
(443) 725-6064
Mailing address
306 N KENSINGTON AVE, LA GRANGE PARK, IL 60526-1870
(312) 914-0611
(312) 919-0324
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/13/2018
Last updated
10/18/2021
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