Individual provider Active NPI

Latisha Overton, BCBA

  • Behavior Analyst
  • High Point, NC
National Provider Identifier
1306444112
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1739 Issued in NC
Practice address
4510 Premier Dr
High Point, NC 27265-8193
Phone
(336) 568-6122
Fax
(317) 520-8200
NPI assigned
Oct 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1739 NC Primary

Addresses

Primary practice location

4510 Premier Dr
High Point, NC 27265-8193

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885

Other practice location 1

410 Brentwood St
High Point, NC 27260-5714
Phone (855) 772-8847

Other practice location 2

1114 Eastchester Dr
High Point, NC 27265-3114
Phone (336) 802-1007

Other practice location 3

770 Park Centre Dr
Kernersville, NC 27284-3598
Phone (704) 780-4271

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beautiful Hearts ABA, LLC Behavior Analyst Current Accepting new patients
Complete Rehabilitation and Sports Physical Therapy, PC PastSince Sep 1, 2024 Accepting new patients
Sunshine Behavioral Consulting PastSince Jul 1, 2022 Accepting new patients
Brightbridge ABA North Carolina LLC Behavior Analyst Past Accepting new patients
Helianthus Positive Behavior Supports LLC Behavior Analyst PastSince Oct 1, 2020 Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1602633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1306444112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 DEPAUW BLVD STE 3070",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462686135",
            "telephone_number": "855-324-0885",
            "fax_number": "317-520-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 PREMIER DR",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658193",
            "telephone_number": "336-568-6122",
            "fax_number": "317-520-8200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Brentwood St",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272605714",
            "country_code": "US",
            "telephone_number": "855-772-8847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1114 Eastchester Dr",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272653114",
            "country_code": "US",
            "telephone_number": "336-802-1007",
            "fax_number": "336-888-3585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "770 Park Centre Dr",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "272843598",
            "country_code": "US",
            "telephone_number": "704-780-4271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OVERTON",
        "first_name": "LATISHA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-14",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.