Individual
LATRINA RENEE NEWTON- MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
718 AUGUSTA ST APT H, WEST COLUMBIA, SC 29169-7238
(803) 528-4228
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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