Individual
LATISHA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4317 PRASSE RD, SOUTH EUCLID, OH 44121-3613
(216) 630-9618
Mailing address
4317 PRASSE RD, SOUTH EUCLID, OH 44121-3613
(216) 630-9618
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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