SHANTAE JOHNSON LATLEIF (NPI# 1982243770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982243770 |
| Entity Type | Individual |
| Full Name | SHANTAE JOHNSON LATLEIF |
| Other Name | SHANTAE JOHNSON |
| Practice Address |
536 Greencrest Ln Odenton MD 21113-1486 |
| Practice Telephone | 4108418011 |
| Mailing Telephone | 4108418011 |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2019-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
536 GREENCREST LN |
| City | ODENTON |
| State | MD |
| Zip Code | 21113-1486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366938599 | Dmv Community Health Services LLC | Clinic/Center | 87778 Pine Orchard Parkway, Odenton, MD 21113 | 2018-07-11 |
| 1285125997 | Edward Lashawn Harvey | Specialist | 207 Ammunition Ave, Odenton, MD 21113 | 2018-05-29 |
| 1275041394 | Aimee Kathleen Olivera Sanchez | Social Worker | 2150 Colonel Way, Odenton, MD 21113 | 2018-01-11 |
| 1891214714 | Bincy Kuttiplackal Mathai | Dentist | 1135 Annapolis Road, Odenton, MD 21113 | 2017-09-12 |
| 1730601949 | Amanda Mary Jackiewicz | Physician Assistant | Greater Maryland Pain Management, 1130 Annapolis Rd Suite 100, Odenton, MD 21113 | 2017-07-10 |
| 1346771235 | Pattrena Reid | Respiratory Therapist, Registered | 115 Bragg Blvd, Odenton, MD 21113 | 2017-03-23 |
| 1225572233 | Pamela Denise Ponder | Internal Medicine | 2603 Portola Court, Odenton, MD 21113 | 2016-12-09 |
| 1285052803 | Diana Nicole Spell | Internal Medicine | Johns Hopkins Community Physicians - Odenton, 1106 Annapolis Road, Odenton, MD 21113 | 2014-04-01 |
| 1730431321 | Orthopedic Physicians of Annapolis LLC | Prosthetic/Orthotic Supplier | 1106 Annapolis Road, Suite 130, Odenton, MD 21113 | 2012-10-08 |
| 1275869463 | Olubukola Fakunle | Pharmacist | 2294 Blue Water Blvd, Weis Pharmacy, Odenton, MD 21113 | 2009-10-23 |
| Find all providers in zip 21113 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268892 | Desiree B Bruce | Behavior Technician | 1480 Berger St Apt 311, Odenton, MD 21113-1393 | 2020-09-02 |
| 1750995510 | Claire Hoyle | Behavior Technician | 704 Orchard Overlook Apt 302, Odenton, MD 21113-2820 | 2020-08-31 |
| 1629680582 | Melissa Pena | Behavior Technician | 2282 Snowfall Ct, Odenton, MD 21113-2246 | 2020-08-20 |
| 1699300285 | Ashley Danielle Hendricks | Behavior Technician | 600 Resty Ln, Odenton, MD 21113-2441 | 2020-03-04 |
| 1629531892 | Rodney Asikhia | Behavior Technician | 2608 Hoods Mill Ct Apt 401, Odenton, MD 21113-3917 | 2019-04-12 |
| 1962978734 | Alexandra Ashley Anderson | Behavior Technician | 328 Old Forge Ln Apt 2109, Odenton, MD 21113-2969 | 2018-10-19 |
| 1518461979 | Lauren Collins | Behavior Technician | 719 Lions Gate Ln, Odenton, MD 21113-1489 | 2018-03-21 |
| 1033718945 | Brittany Brooks | Behavior Technician | 2288 Blue Water Blvd Ste 310, Odenton, MD 21113-3301 | 2020-10-21 |
| 1497354591 | Dashia Frazier | Behavior Technician | 2288 Blue Water Blvd Ste 310, Odenton, MD 21113-3301 | 2020-10-20 |
| 1174121602 | Jessica Russell | Behavior Technician | 2288 Blue Water Blvd Ste 310, Odenton, MD 21113-3301 | 2020-10-16 |
| Find all providers in ODENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.