Brace, Latisha

Brace, Latisha is an individual health care provider with primary practice located at 10818 Queens Blvd Ste 4A5Th , Forest Hills NY 11375-4748. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Brace, Latisha can be contacted via phone (212) 804-7659.

Contact Information

Primary practice address
10818 Queens Blvd Ste 4A5Th Forest Hills NY 11375-4748
Phone: (212) 804-7659
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1184127532
LBN Legal business name Brace, Latisha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2018
Last updated Mar 13th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers