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

Latisha Shamala Wilson, BEHTECHNICIAN

Individual provider Behavior Technician · NPI 1629950902

Latisha Shamala Wilson, BEHTECHNICIAN is a Behavior Technician in Tampa, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

5447 E Beaumont Center Blvd
Tampa, FL 33634-5210
Phone: (888) 754-0398
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (FL)

Record details

NPI number1629950902
Entity typeIndividual (Type 1)
GenderFemale
Credentials BEHTECHNICIAN
Sole proprietorYes
NPI enumeratedJuly 25, 2025
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025

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