Bradley Latherow

NPI #1346822764 in Cocoa, Florida

Provider Information

NPI Number: 1346822764
Entity Type: Individual
Name: Bradley Latherow
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 26, 2021
Last Updated: Apr 26, 2021

Practice Location

Address: 453 KING ST
City: Cocoa
State: Florida
ZIP Code: 32922-7621
Phone: (321) 633-5511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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