KYANA LATISLAW
NPI 1477359065
Behavior Technician in Mishawaka, IN

Active since February 24, 2025
525 PARK PLACE CIR, MISHAWAKA, IN 46545(574) 387-4313 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kyana Latislaw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYANA LATISLAW (NPI 1477359065) is an individual behavior technician in Mishawaka, Indiana, licensed in Indiana (RBT-24-369682) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1477359065
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameKYANA LATISLAW
Location Address525 PARK PLACE CIRMishawaka, IN 46545-3511
Mailing Address215 Red Coach DrMishawaka, IN 46545-8307 · (574) 387-4313
Sole ProprietorNo
Enumeration DateFebruary 24, 2025
NPPES CertifiedFebruary 24, 2025
NPI 1477359065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in IN · RBT-24-369682
Definition
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.
525 PARK PLACE CIR, Mishawaka, IN 46545

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
525 PARK PLACE CIR
MISHAWAKA, IN 46545
Behavior Technician
525 PARK PLACE CIR
MISHAWAKA, IN 46545
Behavior Analyst
525 PARK PLACE CIR
MISHAWAKA, IN 46545
Behavior Technician
525 PARK PLACE CIR
MISHAWAKA, IN 46545
Behavior Technician
525 PARK PLACE CIR
MISHAWAKA, IN 46545
Behavior Technician
525 PARK PLACE CIR
MISHAWAKA, IN 46545
Behavior Technician
525 PARK PLACE CIR
MISHAWAKA, IN 46545
Behavior Technician
525 PARK PLACE CIR
MISHAWAKA, IN 46545

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyana Latislaw's NPI number?

The NPI number for Kyana Latislaw is 1477359065. It was assigned to this individual provider in the NPPES registry on February 24, 2025.

Where is Kyana Latislaw located?

Kyana Latislaw practices at 525 Park Place Cir, Mishawaka, IN 46545. The listed phone number is (574) 387-4313.

What is Kyana Latislaw's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Kyana Latislaw was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.