Most Relevant Information
Provider Data
| NPI Number: | 1003528555 |
| Provider Name: | LATASGIA MCCORVEY RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-22-247649 |
Most Important Dates
| Enumeration Date: | 12/15/2022 |
| Last Updated: | 12/15/2022 |
Provider Practice Location
820 S UNIVERSITY BLVD
MOBILE
AL
366097858
Practice Location Phone/Fax
| Phone: | 2513402020 |
| Fax: | 2513402067 |
Provider Mailing Location
820 S UNIVERSITY BLVD
MOBILE
AL
366097858
Provider Mailing Phone/Fax
| Phone: | 2513402020 |
| Fax: | 2513402067 |