{
"Npi": {
"NPI": "1164179206",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JOYFUL BEHAVIOR ANALYTIC SERVICES",
"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": "38478 BARBERRY ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DELMAR",
"MailingAddressStateName": "DE",
"MailingAddressPostalCode": "19940-3531",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "661-478-9586",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "105 PINE BLUFF RD STE 7A",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SALISBURY",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "21801-7114",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "302-466-5404",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/08/2022",
"LastUpdateDate": "05/21/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MEDINA",
"AuthorizedOfficialFirstName": "CHRYSTLE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT, FOUNDER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "BCBA, LBA",
"AuthorizedOfficialTelephoneNumber": "661-478-9586",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "103K00000X",
"TaxonomyName": "Behavior Analyst",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}