Provider Demographics
NPI:1285991794
Name:HORTON, LATOYA D (BCBA)
Entity type:Individual
Prefix:
First Name:LATOYA
Middle Name:D
Last Name:HORTON
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:LATOYA
Other - Middle Name:D
Other - Last Name:HORTON-WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BCBA
Mailing Address - Street 1:3620 N RANCHO DR.
Mailing Address - Street 2:SUITE #104
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89130-3153
Mailing Address - Country:US
Mailing Address - Phone:702-854-1870
Mailing Address - Fax:702-586-7860
Practice Address - Street 1:3620 N RANCHO DR.
Practice Address - Street 2:SUITE #104
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89130-3153
Practice Address - Country:US
Practice Address - Phone:702-854-1870
Practice Address - Fax:702-586-7860
Is Sole Proprietor?:No
Enumeration Date:2012-04-20
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVLBA0154103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst