Latrisha Tamara Graham
NPI #1003682378 in Portsmouth, Virginia
Provider Information
- NPI Number
- 1003682378
- Entity Type
- Individual
- Name
- Latrisha Tamara Graham
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Nov 28, 2023
- Last Updated
- Jan 10, 2024
Practice Location
- Address
- 100 ALLEN RD
- City
- Portsmouth
- State
- Virginia
- ZIP Code
- 23702-2202
- Phone
- (757) 975-3698
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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