AMANDA MARIE LATTA RBT
NPI 1609480508
Behavior Technician in South Bend, IN

Active since September 08, 2020
17390 DUGDALE DR STE 100, SOUTH BEND, IN 46635(574) 400-2169(317) 520-8200 Get Directions Write a Review

NPPES record last updated: September 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amanda Marie Latta Rbt NPPES

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

AMANDA MARIE LATTA RBT (NPI 1609480508) is an individual behavior technician in South Bend, Indiana, licensed in Indiana (RBT-20-130980) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1609480508
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameAMANDA MARIE LATTACredential: RBT
Location Address17390 DUGDALE DR STE 100South Bend, IN 46635-1512
Mailing Address3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135 · (855) 324-0885 · Fax (317) 520-8200
Fax(317) 520-8200
Sole ProprietorNo
Enumeration DateSeptember 8, 2020
NPPES CertifiedSeptember 8, 2020
NPI 1609480508 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-20-130980
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.
17390 DUGDALE DR STE 100, South Bend, IN 46635

Other Names 1

Former Name (1)Amanda Marie Willis

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
17390 DUGDALE DR STE 100
SOUTH BEND, IN 46635
Behavior Technician
17390 DUGDALE DR STE 100
SOUTH BEND, IN 46635
Behavior Technician
17390 DUGDALE DR STE 100
SOUTH BEND, IN 46635
Behavior Technician
17390 DUGDALE DR STE 100
SOUTH BEND, IN 46635
Behavior Technician
17390 DUGDALE DR STE 100
SOUTH BEND, IN 46635
Behavior Technician
17390 DUGDALE DR STE 100
SOUTH BEND, IN 46635
Behavior Technician
17390 DUGDALE DR STE 100
SOUTH BEND, IN 46635
Behavior Technician
17390 DUGDALE DR STE 100
SOUTH BEND, IN 46635

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 Amanda Latta's NPI number?

The NPI number for Amanda Latta is 1609480508. It was assigned to this individual provider in the NPPES registry on September 8, 2020. The provider is also known as Amanda Marie Willis.

Where is Amanda Latta located?

Amanda Latta practices at 17390 Dugdale Dr Ste 100, South Bend, IN 46635. The listed phone number is (574) 400-2169.

What is Amanda Latta'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 Amanda Latta was last updated on September 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.