Individual provider · Type 1 NPI
Latashia Brown
Developmental Therapist · Bourbonnais, IL
Practice location
28 N West Ave
Bourbonnais, IL 60914-1023
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | B35053880808 (IL) |
Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…
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About NPI 1801124185
Latashia Brown's National Provider Identifier is 1801124185, issued on Nov 25, 2009. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Bourbonnais, IL. The record was last updated on Nov 25, 2009.