Individual
TONY LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
14 SOCCER PARK RD, FENTON, MO 63026-2564
(314) 845-3900
(314) 845-3901
Mailing address
14 SOCCER PARK RD, FENTON, MO 63026-2564
(314) 354-5611
(314) 845-3901
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT1872846
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992256945
ABA
—
Enumeration date
12/19/2019
Last updated
12/19/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us