MEDICARE: MONICA G LATCHA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1558216929
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA G LATCHA

Provider Business Mailing Address
First Line	:	13019 PAULINE DR
Second Line	:
City	:	SHELBY TOWNSHIP
State	:	MI
Zip	:	48315-3122
Country	:	US
Telephone Number	:	586-207-9255
Fax Number	:	248-403-8500

Provider Business Practice Location Address
First Line	:	16700 21 MILE RD
Second Line	:
City	:	MACOMB
State	:	MI
Zip	:	48044-4887
Country	:	US
Telephone Number	:	586-207-9255
Fax Number	:	248-403-8500

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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Directions to “ MONICA G LATCHA ” Practice Location

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