GANNA LATYSH

Behavior Technician

Active Individual
NPI: 1093274433

Practice Address

1100 MELODY LN STE 204
Roseville, CA 95678

Phone: (888) 353-8285

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1093274433 is the National Provider Identifier for GANNA LATYSH, a Behavior Technician provider located in Roseville, CA. This NPI was enumerated on March 15, 2019.
GANNA LATYSH practices at 1100 MELODY LN STE 204, Roseville, CA 95678.

Quick Facts

NPI
1093274433
Type
Individual
Enumerated
Mar 15, 2019
Last Updated
Mar 15, 2019

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