Taylor Latsonas

NPI #1376305995 in Champaign, Illinois

Provider Information

NPI Number: 1376305995
Entity Type: Individual
Name: Taylor Latsonas
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 29, 2024
Last Updated: Jan 29, 2024

Practice Location

Address: 517 W TOWN CENTER BLVD
City: Champaign
State: Illinois
ZIP Code: 61822-1248
Phone: (844) 263-1613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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