Individual
LATORYA K HAMILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
5475 VANDERGREEN DR, MEMPHIS, TN 38116-8811
(662) 417-1236
Mailing address
5475 VANDERGREEN DR, MEMPHIS, TN 38116-8811
(662) 417-1236
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1095801
TN
Other
Enumeration date
01/23/2025
Last updated
01/23/2025
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