Individual
LATREVER UGWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1649 61ST ST FL 3013, BROOKLYN, NY 11204-2110
(443) 825-5886
Mailing address
10175 FORTUNE PKWY UNIT 903, JACKSONVILLE, FL 32256-6755
(904) 538-0713
(904) 538-0714
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-69994
GA
106S00000X
Behavior Technician
22-219180
GA
106S00000X
Behavior Technician
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Other
Enumeration date
06/06/2022
Last updated
05/05/2025
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