Most Relevant Information
Provider Data
| NPI Number: | 1003437542 |
| Provider Name: | ALLIYAH LATTIMORE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/06/2020 |
| Last Updated: | 09/29/2021 |
Provider Practice Location
7529 STANDISH PL STE 355
DERWOOD
MD
208552733
Practice Location Phone/Fax
| Phone: | 5713171742 |
| Fax: |
Provider Mailing Location
7529 STANDISH PL STE 355
DERWOOD
MD
208552733
Provider Mailing Phone/Fax
| Phone: | 5713171742 |
| Fax: |