Shantae Johnson Latleif

NPI #1982243770 in Odenton, Maryland

Provider Information

NPI Number: 1982243770
Entity Type: Individual
Name: Shantae Johnson Latleif
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 27, 2019
Last Updated: Dec 27, 2019

Practice Location

Address: 536 GREENCREST LN
City: Odenton
State: Maryland
ZIP Code: 21113-1486
Phone: (410) 841-8011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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