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1245121359 NPI number — JASANGELY PACHECO-SANISIDRO

NPI Number: 1245121359
Health Care Provider/Practitioner: JASANGELY PACHECO-SANISIDRO

Information about “1245121359” NPI (JASANGELY PACHECO-SANISIDRO) exists in 1245121359 in HTML format HTML  |  1245121359 in plain Text format TXT  |  1245121359 in PDF (Portable Document Format) PDF  |  1245121359 in an XML format XML  formats.

NPI Number : 1245121359 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1245121359",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PACHECO-SANISIDRO",
    "FirstName": "JASANGELY",
    "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": "4808 N STATE ROAD 7 APT 305",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COCONUT CREEK",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33073-3352",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "754-261-9231",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7301A W PALMETTO PARK RD STE 100C",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BOCA RATON",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33433-3403",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "954-248-1171",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/15/2025",
    "LastUpdateDate": "07/15/2025",
    "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": "106S00000X",
        "TaxonomyName": "Behavior Technician",
        "LicenseNumber": "106S00000X",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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