Latisha Antoinette Carr
Individual provider Active NPI Behavior Technician · White Marsh, MD
NPI 1730995960 · NPPES record last updated Dec 3, 2024
Key facts
- NPI
- 1730995960
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 10839 Philadelphia Rd Ste B
White Marsh, MD 21162-1717 - Phone
- (410) 438-7359
- NPI assigned
- Dec 3, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
10839 Philadelphia Rd Ste B
White Marsh, MD 21162-1717
Mailing address
10839 Philadelphia Rd Ste B
White Marsh, MD 21162-1717
Phone (410) 438-7359
Other providers in White Marsh, MD
- Rachel Gestido Bonnell
- Justin Ryan Brooks
- Peter Joseph Bruger
- Maureen R Burke
- Jennifer Lynne Canapp
- Rana Cayir
- Complete Pain Surgery Center of White Marsh LLC
- Gina Cordial
- Tracy Cudjoe
- D&D Home Health Services LLC
All providers in White Marsh, MD · Behavior Technician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.