Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lateasha Joseph Zackery

Individual provider Behavior Technician · NPI 1790629483

Lateasha Joseph Zackery is a Behavior Technician in Hollywood, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2026

Practice location Address checks out

3900 Hollywood Blvd Ste Phe
Hollywood, FL 33021-6760
Phone: (954) 822-4175
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-26-529311 (FL)

Record details

NPI number1790629483
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 15, 2026
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026

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