Individual
LATESHA YVETTE SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 E MAIN ST STE 200, MILFORD, MA 01757-2806
(401) 408-4581
Mailing address
300 E MAIN ST STE 200, MILFORD, MA 01757-2806
(508) 478-0207
(508) 634-6984
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LABA10000938
MA
106S00000X
Behavior Technician
—
—
222Q00000X
Developmental Therapist
—
MA
Other
Enumeration date
03/12/2019
Last updated
05/24/2024
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