Latasha Pross

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

900 Branchview Dr NE Ste 215
Concord, NC 28025-2239

Phone

(704) 780-4271

Fax

(888) 261-6694

NPI assigned

Apr 8, 2021

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Provizions Care LLC

  • Community/Behavioral Health Agency
  • Concord, NC
  • NPI 1316718067
  NPD Authorized official
• Provizions Care LLC

  dba Provizions Transitional Housing

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1528513983
  NPD Authorized official

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

{
    "created_epoch": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1750961470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7047 WATERWHEEL ST SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280256746",
            "telephone_number": "704-963-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BRANCHVIEW DR NE STE 215",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252239",
            "telephone_number": "704-780-4271",
            "fax_number": "888-261-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSS",
        "first_name": "LATASHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-08",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Progressions Incorporated
• Brian Frederick Proietti
• Promises12 LTD LLC (Assessments@PROMISES12)
• Bradley William Propst, MD
• Jimmy Pross Jr.
• Tonda Vanderburg Proulx, NP
• Providence Medical Clinic, Inc. (DBA Cabarrus Mercy Clinic)
• Provizions Care LLC
• James Clifton Pryor
• Public Health Authority of Cabarrus County (Cabarrus Health Alliance Dental)

• Behavior Technician in Concord, NC
• Providers in Concord, NC by specialty
• Behavior Technician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.

Verify at the official NPI Registry.