Provider Demographics
NPI:1083481055
Name:LATINA PHD
Entity Type:Organization
Organization Name:LATINA PHD
Other - Org Name:ALTERNATIVE PATHWAY CONSULTING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALBARRAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:512-804-8798
Mailing Address - Street 1:13800 LYNDHURST ST UNIT 52
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717-6063
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:737-309-3719
Practice Address - Street 1:13800 LYNDHURST ST UNIT 52
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78717-6063
Practice Address - Country:US
Practice Address - Phone:512-804-8798
Practice Address - Fax:737-309-3719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-08
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty