Active NPI
Latavia Maines
- Behavior Technician
- Mount Vernon, IL
National Provider Identifier
1528965993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 621 Perkins Ave
Mount Vernon, IL 62864-5442 - Phone
- (618) 322-9599
- NPI assigned
- Oct 20, 2026
- Last updated
- Oct 20, 2026
- 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 Technician | 106S00000X | Primary |
Addresses
Primary practice location
621 Perkins Ave
Mount Vernon, IL 62864-5442
Mailing address
621 Perkins Ave
Mount Vernon, IL 62864-5442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792454400000",
"number": "1528965993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 PERKINS AVE",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628645442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 PERKINS AVE",
"city": "MOUNT VERNON",
"state": "IL",
"postal_code": "628645442",
"telephone_number": "618-322-9599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAINES",
"first_name": "LATAVIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-20",
"last_updated": "2026-10-20",
"certification_date": "2026-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.