Individual
LATASHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
916 E MONTEREY CT APT C, GRETNA, LA 70056-8109
(504) 777-6171
Mailing address
70 ELAINE DR, AVONDALE, LA 70094-2952
(504) 777-6171
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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