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1043663529 NPI number — EBY ISMA KENT LEP, BCBA

NPI Number: 1043663529
Health Care Provider/Practitioner: EBY ISMA KENT LEP, BCBA

Information about “1043663529” NPI (EBY ISMA KENT LEP, BCBA) exists in 1043663529 in HTML format HTML  |  1043663529 in plain Text format TXT  |  1043663529 in PDF (Portable Document Format) PDF  |  1043663529 in an XML format XML  formats.

NPI Number : 1043663529 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043663529",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KENT",
    "FirstName": "EBY",
    "MiddleName": "ISMA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LEP, BCBA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2 CORPORATE PLAZA DR STE 150",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEWPORT BEACH",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92660-7952",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "714-552-6720",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2 CORPORATE PLAZA DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEWPORT BEACH",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92660-7929",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "714-552-6720",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/19/2016",
    "LastUpdateDate": "05/07/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103TS0200X",
          "TaxonomyName": "School Psychologist",
          "LicenseNumber": "3101",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103K00000X",
          "TaxonomyName": "Behavior Analyst",
          "LicenseNumber": "1-14-15212",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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