Latanya Long, M.S., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-17-25956

Practice address

2630 W Broward Blvd Ste 203-2007
Fort Lauderdale, FL 33312-1314

Phone

(954) 466-2469

Fax

(833) 514-1516

NPI assigned

Sep 6, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Applied Behavior Therapeutics LLC

  • Behavior Analyst
  • Fort Lauderdale, FL
  • NPI 1245939396
  NPD Authorized official
• Applied Behavior Therapeutics LLC

  • Behavior Analyst
  • Fort Lauderdale, FL
  • NPI 1285378570
  NPD Authorized official
• Applied Behavioral Clinicians

  • Community/Behavioral Health Agency
  • Fredericksburg, VA
  • NPI 1841877750

  Behavior Analyst

  NPD (past)
• Storybook ABA MD LLC

  • Behavior Analyst
  • Columbia, MD
  • NPI 1083442412
  NPD (past)

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1710434816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 W BROWARD BLVD STE 203-2007",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121314",
            "telephone_number": "954-709-3996",
            "fax_number": "833-514-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 W BROWARD BLVD STE 203-2007",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121314",
            "telephone_number": "954-466-2469",
            "fax_number": "833-514-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "LATANYA",
        "credential": "M.S., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-06",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-17-25956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lomii Studio LLC
• Katherine London, LCSW
• Vanessa Londono, PMHNP
• Daniela Sales Long
• Jamie N. Long, PSY.D.
• Mauricio Longton, PTA
• Longvilleacu
• Lonnie M Epstein MD PA
• Lauren Loparo, LMT
• Izabela Lopes Cardozo

• Behavior Analyst in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.