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1356630602 NPI number — AIMEE ELIZABETH ANDERSON PH.D., BCBA-D

NPI Number: 1356630602
Health Care Provider/Practitioner: AIMEE ELIZABETH ANDERSON PH.D., BCBA-D

Information about “1356630602” NPI (AIMEE ELIZABETH ANDERSON PH.D., BCBA-D) exists in 1356630602 in HTML format HTML  |  1356630602 in plain Text format TXT  |  1356630602 in PDF (Portable Document Format) PDF  |  1356630602 in an XML format XML  formats.

NPI Number : 1356630602 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356630602",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ANDERSON",
    "FirstName": "AIMEE",
    "MiddleName": "ELIZABETH",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "PH.D., BCBA-D",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "301 SCIENCE DR",
    "SecondLineMailingAddress": "SUITE 180",
    "MailingAddressCityName": "MOORPARK",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93021-2094",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "805-529-5265",
    "MailingAddressFaxNumber": "805-529-5267",
    "FirstLinePracticeLocationAddress": "301 SCIENCE DR",
    "SecondLinePracticeLocationAddress": "SUITE 180",
    "PracticeLocationAddressCityName": "MOORPARK",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93021-2094",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "805-529-5265",
    "PracticeLocationAddressFaxNumber": "805-529-5267",
    "EnumerationDate": "04/06/2011",
    "LastUpdateDate": "04/06/2011",
    "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": "BACB # 1-06-3193",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "103TB0200X",
          "TaxonomyName": "Cognitive & Behavioral Psychologist",
          "LicenseNumber": "PSY 18781",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TC2200X",
          "TaxonomyName": "Clinical Child & Adolescent Psychologist",
          "LicenseNumber": "PSY 18781",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103TM1800X",
          "TaxonomyName": "Intellectual & Developmental Disabilities Psychologist",
          "LicenseNumber": "PSY 18781",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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