NPI Code Detail JSON Logo

1124961438 NPI number — SMILESTONE ABA LLC

NPI Number: 1124961438
Health Care Provider/Practitioner: SMILESTONE ABA LLC

Information about “1124961438” NPI (SMILESTONE ABA LLC) exists in 1124961438 in HTML format HTML  |  1124961438 in plain Text format TXT  |  1124961438 in PDF (Portable Document Format) PDF  |  1124961438 in an XML format XML  formats.

NPI Number : 1124961438 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1124961438",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SMILESTONE ABA 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": "5360 ALLATOONA GTWY APT 8102",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ACWORTH",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30101-7460",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "850-322-9856",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5360 ALLATOONA GTWY APT 8102",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ACWORTH",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30101-7460",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "850-322-9856",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/11/2026",
    "LastUpdateDate": "04/11/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MILLER",
    "AuthorizedOfficialFirstName": "SANIYYAH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "850-322-9856",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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