Latasha Latreviea Lane

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

1086944 Issued in FL

Practice address

9050 Pines Blvd
Pembroke Pines, FL 33024-6455

Phone

(954) 744-4182

NPI assigned

Jan 14, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Blue Heart Solutions LLC

  • Behavior Analyst
  • Weston, FL
  • NPI 1720836190
  NPD (past)

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1528879210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3470 FOXCROFT RD APT 108",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330254162",
            "telephone_number": "954-243-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246455",
            "telephone_number": "954-744-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "LATASHA",
        "middle_name": "LATREVIEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "1086944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Land of Smiles P.a.
• Jessica Landi
• Zevy Landman, MD
• Courtney Lane, RCSWI
• Justin James Lane
• Joshua Langberg
• Janyne Langlois
• Cristina Lanuza Marrero, BCBA
• Victoria Valinluck Lao, MD, PHD
• Michele Joy Lapayowker, D.O.

• Behavior Technician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.