Provider Demographics
NPI:1326730334
Name:MILLS, LATOSHA TENE (RBT)
Entity Type:Individual
Prefix:
First Name:LATOSHA
Middle Name:TENE
Last Name:MILLS
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:LATOSHA
Other - Middle Name:TENE
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RBT
Mailing Address - Street 1:9140 GUILFORD RD STE O
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-2584
Mailing Address - Country:US
Mailing Address - Phone:410-888-0216
Mailing Address - Fax:
Practice Address - Street 1:9140 GUILFORD RD STE O
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-2584
Practice Address - Country:US
Practice Address - Phone:410-888-0216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician