Shantae Johnson Latleif

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

536 Greencrest LN
Odenton, MD 21113-1486

Phone

(410) 841-8011

NPI assigned

Dec 27, 2019

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

Other names 1

• Shantae Johnson Other name

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": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1982243770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 GREENCREST LN",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131486",
            "telephone_number": "410-841-8011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 GREENCREST LN",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131486",
            "telephone_number": "410-841-8011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON LATLEIF",
        "first_name": "SHANTAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-27",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANTAE",
            "last_name": "JOHNSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Johns Hopkins University
• Johns Hopkins University
• Johns Hopkins University
• Johns Hopkins University
• Johns Hopkins University
• Savonne Johnson
• Breanna C Jones, BT
• Brittany Jones
• Kayla M Jones, PA-C
• Nikki Jones, RBT

• Behavior Technician in Odenton, MD
• Providers in Odenton, MD by specialty
• Behavior Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; 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.