Active NPI
Latoya Lorick
- Behavior Analyst
- Statesboro, GA
National Provider Identifier
1457644080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 7401001702
- Practice address
- 24 Joe Kennedy Blvd Ste 13
Statesboro, GA 30458-3113 - Phone
- (912) 208-2024
- NPI assigned
- May 16, 2011
- Sex
- Female
- Sole proprietor
- No
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 Analyst | 103K00000X | 7401001702 | MI | Primary |
Addresses
Primary practice location
24 Joe Kennedy Blvd Ste 13
Statesboro, GA 30458-3113
Mailing address
2805 S Industrial Hwy Ste 100
Ann Arbor, MI 48104-6791
Other practice location 1
300 Saint Andrews Rd Ste 409
Saginaw, MI 48638-5977
Phone (989) 341-3653
Other practice location 2
1625 Concentric Blvd
Saginaw, MI 48604-9542
Phone (989) 262-0633
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 |
|---|---|---|---|
| 7401001702 | MI | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chitter Chatter P.C. | Behavior Analyst | Past | Accepting new patients |
| ABA Pathways, LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Behavior Analyst
- Ann Arbor, MI
- NPI 1770838468
-
- Behavior Analyst
- Dearborn, MI
- NPI 1609135748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1457644080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2805 S INDUSTRIAL HWY STE 100",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481046791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 JOE KENNEDY BLVD STE 13",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304583113",
"telephone_number": "912-208-2024"
}
],
"practiceLocations": [
{
"address_1": "300 Saint Andrews Rd Ste 409",
"address_purpose": "LOCATION",
"city": "Saginaw",
"state": "MI",
"postal_code": "486385977",
"country_code": "US",
"telephone_number": "989-341-3653",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1625 Concentric Blvd",
"address_purpose": "LOCATION",
"city": "Saginaw",
"state": "MI",
"postal_code": "486049542",
"country_code": "US",
"telephone_number": "989-262-0633",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LORICK",
"first_name": "LATOYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-16",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MI",
"license": "7401001702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Statesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.