Individual
LATRICE GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
800 MINOR ST APT 202, SAN JACINTO, CA 92583-4735
(951) 483-1331
Mailing address
800 MINOR ST APT 202, SAN JACINTO, CA 92583-4735
(951) 483-1331
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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