NPI Code Detail JSON Logo

1326598863 NPI number — ROSEMARIE BONOMO BCBA

NPI Number: 1326598863
Health Care Provider/Practitioner: ROSEMARIE BONOMO BCBA

Information about “1326598863” NPI (ROSEMARIE BONOMO BCBA) exists in 1326598863 in HTML format HTML  |  1326598863 in plain Text format TXT  |  1326598863 in PDF (Portable Document Format) PDF  |  1326598863 in an XML format XML  formats.

NPI Number : 1326598863 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1326598863",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BONOMO",
    "FirstName": "ROSEMARIE",
    "MiddleName": null,
    "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": "34 BLAIRMORE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HAMILTON SQUARE",
    "MailingAddressStateName": "NJ",
    "MailingAddressPostalCode": "08690-2526",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "609-588-9171",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6 BAGGALEY RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "TRENTON",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08690-1814",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "609-500-6686",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/07/2016",
    "LastUpdateDate": "10/07/2016",
    "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": "1118243",
        "LicenseNumberStateCode": "NJ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.