| Latino Leadership, Inc. | |
|
4403 S Hopkins Ave Titusville FL 32780-6651 | |
| (407) 895-0801 | |
| (407) 895-0803 |
| Full Name | Latino Leadership, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4403 S Hopkins Ave, Titusville, Florida |
| Authorized Official Name and Position | Marucci Guzman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4078950801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Latino Leadership, Inc. 8617 E Colonial Dr Ste 1600 Orlando FL 32817-3937 Ph: (407) 895-0801 | Latino Leadership, Inc. 4403 S Hopkins Ave Titusville FL 32780-6651 Ph: (407) 895-0801 |
| NPI Number | 1144980251 |
|---|---|
| Provider Enumeration Date | 12/30/2021 |
| Last Update Date | 12/30/2021 |
| Certification Date | 12/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144980251 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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