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1316342934 NPI number — GREEN BOX ABA, PLLC

NPI Number: 1316342934
Health Care Provider/Practitioner: GREEN BOX ABA, PLLC

Information about “1316342934” NPI (GREEN BOX ABA, PLLC) exists in 1316342934 in HTML format HTML  |  1316342934 in plain Text format TXT  |  1316342934 in PDF (Portable Document Format) PDF  |  1316342934 in an XML format XML  formats.

NPI Number : 1316342934 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1316342934",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "GREEN BOX ABA, PLLC",
    "LastName": null,
    "FirstName": null,
    "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": "7704 GROMWELL CT",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SPRINGFIELD",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "22152-3134",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "703-975-2791",
    "MailingAddressFaxNumber": "703-639-0440",
    "FirstLinePracticeLocationAddress": "6216 OLD KEENE MILL CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SPRINGFIELD",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22152-2323",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "571-297-4308",
    "PracticeLocationAddressFaxNumber": "703-992-0405",
    "EnumerationDate": "10/24/2014",
    "LastUpdateDate": "09/14/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RICHARDSON",
    "AuthorizedOfficialFirstName": "CHRISTOPHER",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CHIEF OPERATING OFFICER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "571-297-4308",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": "0133000288",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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