NPI Code Detail JSON Logo

1063114254 NPI number — NOUSE S S DIEUBON

NPI Number: 1063114254
Health Care Provider/Practitioner: NOUSE S S DIEUBON

Information about “1063114254” NPI (NOUSE S S DIEUBON) exists in 1063114254 in HTML format HTML  |  1063114254 in plain Text format TXT  |  1063114254 in PDF (Portable Document Format) PDF  |  1063114254 in an XML format XML  formats.

NPI Number : 1063114254 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063114254",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DIEUBON",
    "FirstName": "NOUSE S",
    "MiddleName": "S",
    "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": "8343 SW 5TH ST APT 207",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PEMBROKE PINES",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33025-1481",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "786-620-7228",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "350 FAIRWAY DR STE 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DEERFIELD BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33441-1834",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-799-0391",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/20/2023",
    "LastUpdateDate": "04/05/2023",
    "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": "106S00000X",
        "TaxonomyName": "Behavior Technician",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.