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1194029876 NPI number — KRYSTAL MARIE OSWALD BCBA, LSW

NPI Number: 1194029876
Health Care Provider/Practitioner: KRYSTAL MARIE OSWALD BCBA, LSW

Information about “1194029876” NPI (KRYSTAL MARIE OSWALD BCBA, LSW) exists in 1194029876 in HTML format HTML  |  1194029876 in plain Text format TXT  |  1194029876 in PDF (Portable Document Format) PDF  |  1194029876 in an XML format XML  formats.

NPI Number : 1194029876 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1194029876",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OSWALD",
    "FirstName": "KRYSTAL",
    "MiddleName": "MARIE",
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "BCBA, LSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RHINES",
    "OtherFirstName": "KRYSTAL",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5801 MOUNT PLEASANT LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BELLEVILLE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "62223-3944",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "618-489-5102",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5801 MOUNT PLEASANT LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BELLEVILLE",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "62223-3944",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "618-489-5102",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/10/2011",
    "LastUpdateDate": "05/12/2025",
    "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": "152.001327",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103K00000X",
          "TaxonomyName": "Behavior Analyst",
          "LicenseNumber": "023005308",
          "LicenseNumberStateCode": "MO",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "104100000X",
          "TaxonomyName": "Social Worker",
          "LicenseNumber": "150.114174",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103K00000X",
          "TaxonomyName": "Behavior Analyst",
          "LicenseNumber": "1-17-26500",
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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