Individual provider Active NPI

Jessica Latshaw, BCBA

  • Behavior Analyst
  • Aurora, IL
National Provider Identifier
1447658414
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-14-16765 Issued in IL
Practice address
4222 Meridian Pkwy
Aurora, IL 60504-7938
Phone
(866) 727-8274
NPI assigned
Dec 8, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 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 1-14-16765 IL Primary

Addresses

Primary practice location

4222 Meridian Pkwy
Aurora, IL 60504-7938

Mailing address

2550 N Hollywood Way Ste 301
Burbank, CA 91505-5025
Phone (866) 727-8274

Other practice location 1

5805 Oakwood Dr
Apt. E
Lisle, IL 60532-2932
Phone (815) 354-8419

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

NPI Registry JSON

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1447658414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 N HOLLYWOOD WAY STE 301",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915055025",
            "telephone_number": "866-727-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 MERIDIAN PKWY",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047938",
            "telephone_number": "866-727-8274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5805 Oakwood Dr",
            "address_2": "Apt. E",
            "address_purpose": "LOCATION",
            "city": "Lisle",
            "state": "IL",
            "postal_code": "605322932",
            "country_code": "US",
            "telephone_number": "815-354-8419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LATSHAW",
        "first_name": "JESSICA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "1-14-16765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.