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1235603812 NPI number — SAMANTHA LEANN SEVEGNEY BCBA

NPI Number: 1235603812
Health Care Provider/Practitioner: SAMANTHA LEANN SEVEGNEY BCBA

Information about “1235603812” NPI (SAMANTHA LEANN SEVEGNEY BCBA) exists in 1235603812 in HTML format HTML  |  1235603812 in plain Text format TXT  |  1235603812 in PDF (Portable Document Format) PDF  |  1235603812 in an XML format XML  formats.

NPI Number : 1235603812 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1235603812",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SEVEGNEY",
    "FirstName": "SAMANTHA",
    "MiddleName": "LEANN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "BCBA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3809 S CONGRESS AVE APT 340",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "AUSTIN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78704-8028",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "713-628-7032",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2100 KRAMER LN STE 150",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AUSTIN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78758-4096",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "512-458-0260",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/16/2019",
    "LastUpdateDate": "01/16/2019",
    "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": "1989",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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