Active NPI
Latrever Ugwu, BCBA
- Behavior Analyst
- Brooklyn, NY
National Provider Identifier
1992434161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-69994
- Practice address
- 1649 61St St FL 3013
Brooklyn, NY 11204-2110 - Phone
- (443) 825-5886
- NPI assigned
- Jun 6, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 22-219180 | GA | |
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-23-69994 | GA | Primary |
Addresses
Primary practice location
1649 61St St FL 3013
Brooklyn, NY 11204-2110
Mailing address
10175 Fortune Pkwy Unit 903
Jacksonville, FL 32256-6755
Phone (904) 538-0713
Other practice location 1
107 Industrial Dr Ste E
Saint Marys, GA 31558-4436
Phone (904) 538-0713
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22-219180 | GA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silverswing ABA Ga LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Behavior Analyst
- Atlanta, GA
- NPI 1831956721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1992434161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10175 FORTUNE PKWY UNIT 903",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322566755",
"telephone_number": "904-538-0713",
"fax_number": "904-538-0714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1649 61ST ST FL 3013",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112042110",
"telephone_number": "443-825-5886"
}
],
"practiceLocations": [
{
"address_1": "107 Industrial Dr Ste E",
"address_purpose": "LOCATION",
"city": "Saint Marys",
"state": "GA",
"postal_code": "315584436",
"country_code": "US",
"telephone_number": "904-538-0713",
"fax_number": "904-538-0714",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UGWU",
"first_name": "LATREVER",
"credential": "BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-06",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "GA",
"license": "22-219180",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "GA",
"license": "1-23-69994",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.