NPI Code Detail JSON Logo

1003290107 NPI number — PEAK CENTER FOR AUTISM LLC

NPI Number: 1003290107
Health Care Provider/Practitioner: PEAK CENTER FOR AUTISM LLC

Information about “1003290107” NPI (PEAK CENTER FOR AUTISM LLC) exists in 1003290107 in HTML format HTML  |  1003290107 in plain Text format TXT  |  1003290107 in PDF (Portable Document Format) PDF  |  1003290107 in an XML format XML  formats.

NPI Number : 1003290107 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003290107",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PEAK CENTER FOR AUTISM LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1900 BURLINGTON MOUNT HOLLY RD STE 6D",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BURLINGTON",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08016-4727",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "609-614-7495",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1900 BURLINGTON MOUNT HOLLY RD STE 6D",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BURLINGTON",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08016-4727",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "609-614-7495",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/17/2015",
    "LastUpdateDate": "03/09/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PEAK",
    "AuthorizedOfficialFirstName": "TATIANA",
    "AuthorizedOfficialMiddleName": "N",
    "AuthorizedOfficialTitle": "OWNER/EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.A., BCBA",
    "AuthorizedOfficialTelephoneNumber": "609-614-7495",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251C00000X",
          "TaxonomyName": "Developmentally Disabled Services Day Training Agency",
          "LicenseNumber": "1-15-18265",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "253Z00000X",
          "TaxonomyName": "In Home Supportive Care Agency",
          "LicenseNumber": "1-15-18265",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": "1-15-18265",
          "LicenseNumberStateCode": "CO",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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