Latisha Marie Gary, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-49048 Issued in NC

Practice address

8530 Cliff Cameron Dr Ste 140
Charlotte, NC 28269-5906

Phone

(980) 202-7441

NPI assigned

Nov 21, 2017

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699747200000",
    "number": "1982118311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8530 CLIFF CAMERON DR STE 140",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282695906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 CLIFF CAMERON DR STE 140",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282695906",
            "telephone_number": "980-202-7441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 Mackenan Dr",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275117903",
            "country_code": "US",
            "telephone_number": "919-230-7790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARY",
        "first_name": "LATISHA",
        "middle_name": "MARIE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-21",
        "last_updated": "2023-11-12",
        "certification_date": "2023-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-21-49048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Paul Garwacki, MD
• Gary D Waldman MD PA
• Joy Elaine Gary, M.D.
• Kishawna Denae Gary, MSW, LCSW-A
• Latasha G. Gary, LCMHC
• Neva Gary, LCSW, CMSW
• Eva Claire Garza
• Lisa E. Garzoni, NP
• Nicole Marie Gasbarro, PHARMD
• Hailey Gase, PA

• Behavior Analyst in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.