MISS Latavia Mack
NPI #1962292367 in Bowman, South Carolina
Provider Information
- NPI Number
- 1962292367
- Entity Type
- Individual
- Name
- MISS Latavia Mack
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Assistant Behavior Analyst
- Enumeration Date
- May 8, 2025
- Last Updated
- May 8, 2025
Practice Location
- Address
- 120 OAK ST
- City
- Bowman
- State
- South Carolina
- ZIP Code
- 29018
- Phone
- (803) 596-8651
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assistant Behavior Analyst |
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