Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Latasha Sullivan

Individual provider Behavior Technician · NPI 1083374789

Latasha Sullivan is a Behavior Technician in Clayton, Missouri. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

7777 Bonhomme Ave Ste 1800
Clayton, MO 63105-1931
Phone: (636) 202-0693
Fax: (855) 568-2494
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1083374789
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 21, 2021
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021
Mailing address18726 S Western Ave, Gardena, CA 90248-3813

Other providers in Clayton