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1124335575 NPI number — AMY E SBLENDORIO MED, CAGS, BCBA

NPI Number: 1124335575
Health Care Provider/Practitioner: AMY E SBLENDORIO MED, CAGS, BCBA

Information about “1124335575” NPI (AMY E SBLENDORIO MED, CAGS, BCBA) exists in 1124335575 in HTML format HTML  |  1124335575 in plain Text format TXT  |  1124335575 in PDF (Portable Document Format) PDF  |  1124335575 in an XML format XML  formats.

NPI Number : 1124335575 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124335575",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SBLENDORIO",
    "FirstName": "AMY",
    "MiddleName": "E",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MED, CAGS, BCBA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "PERMENTER",
    "OtherFirstName": "AMY",
    "OtherMiddleName": "E",
    "OtherNamePrefix": "MS.",
    "OtherNameSuffix": null,
    "OtherCredential": "MED, CAGS, BCBA",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "54 DARNELL LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "STATEN ISLAND",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10309-1951",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "134-786-0169",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "54 DARNELL LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "STATEN ISLAND",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10309-1951",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "134-786-0169",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/07/2010",
    "LastUpdateDate": "09/07/2010",
    "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": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "002417-1",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "103K00000X",
          "TaxonomyName": "Behavior Analyst",
          "LicenseNumber": "1-096406",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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