Individual
MRS. LATONEY ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BTT
Contact information
Practice address
8815 W CONGRESS ST, MILWAUKEE, WI 53225-5026
(414) 403-5757
Mailing address
PO BOX 5634, MILWAUKEE, WI 53205-0634
(414) 403-5757
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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