Active NPI
Lateisha Jones, RBT
- Behavior Technician
- Charlotte, NC
National Provider Identifier
1073380960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 23-314167
- Practice address
- 7401 Old Well St Apt a
Charlotte, NC 28212-0007 - Phone
- (980) 297-3229
- NPI assigned
- Dec 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 23-314167 | NC | Primary |
Addresses
Primary practice location
7401 Old Well St Apt a
Charlotte, NC 28212-0007
Mailing address
7401 Old Well St Apt a
Charlotte, NC 28212-0007
Phone (980) 297-3229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23-314167 | NC | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1073380960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7401 OLD WELL ST APT A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282120007",
"telephone_number": "980-297-3229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7401 OLD WELL ST APT A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282120007",
"telephone_number": "980-297-3229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "LATEISHA",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-11",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NC",
"license": "23-314167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.