Individual provider · Type 1 NPI

Latavia Mack

Assistant Behavior Analyst · Bowman, SC

NPI number 1962292367 Active

Practice location

120 Oak St
Bowman, SC 29018

Mailing address

PO Box 485
Bowman, SC 29018-0485

Specialties and licenses

TaxonomyCodeLicense
Assistant Behavior Analyst Primary 106E00000XNone listed

Assistant Behavior Analyst: An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws …

About NPI 1962292367

Latavia Mack's National Provider Identifier is 1962292367, issued on May 8, 2025. The primary taxonomy on file is Assistant Behavior Analyst (106E00000X), and the practice location is in Bowman, SC. The record was last updated on May 8, 2025.