Individual
LATISHIA DONIQUE BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 GREENBRIER DR APT 204, FREDERICKSBURG, VA 22401-5552
(826) 200-0298
Mailing address
620 GREENBRIER DR APT 204, FREDERICKSBURG, VA 22401-5552
(826) 200-0298
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
04/04/2024
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