Provider Demographics
NPI:1780106435
Name:MOSBY, LATOYA D (MS, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:LATOYA
Middle Name:D
Last Name:MOSBY
Suffix:
Gender:F
Credentials:MS, BCBA, LBA
Other - Prefix:
Other - First Name:LATOYA
Other - Middle Name:
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12828 WILLOW CENTRE DR STE D316
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77066-3043
Mailing Address - Country:US
Mailing Address - Phone:832-945-1445
Mailing Address - Fax:281-754-4161
Practice Address - Street 1:4502 HIGHWAY 6 STE C
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4488
Practice Address - Country:US
Practice Address - Phone:832-945-1445
Practice Address - Fax:281-754-4161
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-14
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1055103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst