MEDICARE: LATRICIA'S LEARNING CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	385HR2065X	Child Physical Disabilities Respite Care

General Provider Information

NPI Number	:	1306571989
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LATRICIA'S LEARNING CENTER

Provider Business Mailing Address
First Line	:	70 PROSPECT ST
Second Line	:
City	:	PORT CHESTER
State	:	NY
Zip	:	10573-3856
Country	:	US
Telephone Number	:	917-526-7778
Fax Number	:

Provider Business Practice Location Address
First Line	:	70 PROSPECT ST
Second Line	:
City	:	PORT CHESTER
State	:	NY
Zip	:	10573-3856
Country	:	US
Telephone Number	:	917-526-7778
Fax Number	:

Authorized Official
Title or Position	:	BEHAVIORAL THERAPIST
Name	:	LATRICIA READ
Credential	:
Telephone Number	:	917-526-7778

Provider Enumeration Date	:	07/19/2022
Last Update Date	:	07/19/2022

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