Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114648466 Individual Practitioner Female Practitioner

Latasha Short

Behavior Technician • Port Orange, FL

Professional Overview & Biography Verified Profile Summary

Latasha Short is a registered healthcare professional specializing in Behavior Technician in Port Orange, FL. Practice services are available at 3890 TURTLE CREEK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3890 Turtle Creek Dr

Port Orange, FL 321279358

Telephone 9048863228
Associated Practice Facility / Clinic
🏢 Port Orange Internists Pa Facility NPI 1689861205

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Port Orange, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
204 Specialists

Practicing in Port Orange, FL (75895 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-03-26
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

State License FL RBT-22-205507

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
115281700 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Jessica Dailey , DPT

Physical Therapist - Pediatrics

NPI 1003284316

Doctor of Physical Therapy

Michelle Ramirez

Assistant Behavior Analyst

NPI 1003534595
Shantel Boykin

Behavior Technician

NPI 1003537838
Amy Inman

Speech-Language Pathologist

NPI 1013040716
Caitlin Couch

Music Therapist

NPI 1013760149
Amanda Chappell

Physical Therapist

NPI 1013883453

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location March 26, 2026

Registered at 3890 TURTLE CREEK DR, PORT ORANGE, FL 321279358 (Tel: 9048863228)

📍
Updated Business Mailing Address March 26, 2026

Registered at 3890 TURTLE CREEK DR, PORT ORANGE, FL 321279358 (Tel: 9048863228)

👤
Provider Name / Credentials Updated March 26, 2026

Recorded as LATASHA SHORT

NPI Profile Active September 06, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 06, 2022

Registered at 2400 S RIDGEWOOD AVE STE 17, SOUTH DAYTONA, FL 321193073 (Tel: 3863107879)

📍
Updated Business Mailing Address September 06, 2022

Registered at 2400 S RIDGEWOOD AVE STE 17, SOUTH DAYTONA, FL 321193073 (Tel: 3863107879)

👤
Provider Name / Credentials Updated September 06, 2022

Recorded as LATASHA GRIMES

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2022

Behavior Technician (License #RBT-22-205507 in FL)

🟢
Initial NPI Registration & Enumeration September 06, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114648466
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2022
Last Update: March 26, 2026
Sole Proprietor: Yes

Mailing Address

3890 Turtle Creek Dr

Port Orange, FL 321279358

Phone: 9048863228

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.