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1083146427 NPI number — BRIDGET TAYLOR PSY.D., BCBA-D

NPI Number: 1083146427
Health Care Provider/Practitioner: BRIDGET TAYLOR PSY.D., BCBA-D

Information about “1083146427” NPI (BRIDGET TAYLOR PSY.D., BCBA-D) exists in 1083146427 in HTML format HTML  |  1083146427 in plain Text format TXT  |  1083146427 in PDF (Portable Document Format) PDF  |  1083146427 in an XML format XML  formats.

NPI Number : 1083146427 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083146427",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TAYLOR",
    "FirstName": "BRIDGET",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PSY.D., BCBA-D",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "160 E WILLOW TREE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SPRING VALLEY",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10977-1019",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "914-329-3049",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1115 14TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MODESTO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95354-1003",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "209-572-2589",
    "PracticeLocationAddressFaxNumber": "209-572-1461",
    "EnumerationDate": "04/03/2017",
    "LastUpdateDate": "04/03/2017",
    "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": "103K00000X",
        "TaxonomyName": "Behavior Analyst",
        "LicenseNumber": "000920-1",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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