Tony Latham, RBT

NPI #1407494545 in Fenton, Missouri

Provider Information

NPI Number: 1407494545
Entity Type: Individual
Name: Tony Latham, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Dec 19, 2019
Last Updated: Dec 19, 2019

Practice Location

Address: 14 SOCCER PARK RD
City: Fenton
State: Missouri
ZIP Code: 63026-2564
Phone: (314) 845-3900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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