NPI Code Detail JSON Logo

1285561670 NPI number — ALEXIS GWEN DEMAIO

NPI Number: 1285561670
Health Care Provider/Practitioner: ALEXIS GWEN DEMAIO

Information about “1285561670” NPI (ALEXIS GWEN DEMAIO) exists in 1285561670 in HTML format HTML  |  1285561670 in plain Text format TXT  |  1285561670 in PDF (Portable Document Format) PDF  |  1285561670 in an XML format XML  formats.

NPI Number : 1285561670 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285561670",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DEMAIO",
    "FirstName": "ALEXIS",
    "MiddleName": "GWEN",
    "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": "300 INTERNATIONAL PKWY STE 200",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LAKE MARY",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32746-5028",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2437 SE 17TH ST STE 102",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OCALA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34471-9104",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "352-509-5210",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/07/2026",
    "LastUpdateDate": "05/07/2026",
    "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": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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