Individual
DAVID A LATTIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2847 DUKE ST, ALEXANDRIA, VA 22314-4512
(703) 870-3880
Mailing address
2211 VICTORIA BLVD, HAMPTON, VA 23661-2933
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
A61468992
VA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/29/2018
Last updated
01/29/2018
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