Active NPI
Latashay Bonner
- Behavior Technician
- Indianapolis, IN
National Provider Identifier
1740155787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 530 E Ohio St Unit 316
Indianapolis, IN 46204-4611 - Phone
- (219) 577-5013
- NPI assigned
- Oct 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | IN | ||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
530 E Ohio St Unit 316
Indianapolis, IN 46204-4611
Mailing address
3636 W 24TH Ave
Gary, IN 46404-3221
Other practice location 1
530 E Ohio St
Indianapolis, IN 46204-4600
Phone (219) 577-5013
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": "1759881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1740155787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3636 W 24TH AVE",
"city": "GARY",
"state": "IN",
"postal_code": "464043221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 E OHIO ST UNIT 316",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462044611",
"telephone_number": "219-577-5013"
}
],
"practiceLocations": [
{
"address_1": "530 E Ohio St",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462044600",
"country_code": "US",
"telephone_number": "219-577-5013",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BONNER",
"first_name": "LATASHAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-08",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.