{
"Npi": {
"NPI": "1285096560",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "VALERIO",
"FirstName": "MEIKA",
"MiddleName": null,
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "BCBA",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "KAMM",
"OtherFirstName": "MEIKA",
"OtherMiddleName": null,
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "5220 S 6TH STREET RD",
"SecondLineMailingAddress": "SUITE 1700",
"MailingAddressCityName": "SPRINGFIELD",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "62703-5735",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "217-525-8332",
"MailingAddressFaxNumber": "217-789-1420",
"FirstLinePracticeLocationAddress": "473 N KIRKWOOD RD FL 1",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "KIRKWOOD",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "63122-3911",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "217-525-8332",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/24/2016",
"LastUpdateDate": "01/11/2023",
"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": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}