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1356637086 NPI number — BRANDON CLEVELAND QMHA

NPI Number: 1356637086
Health Care Provider/Practitioner: BRANDON CLEVELAND QMHA

Information about “1356637086” NPI (BRANDON CLEVELAND QMHA) exists in 1356637086 in HTML format HTML  |  1356637086 in plain Text format TXT  |  1356637086 in PDF (Portable Document Format) PDF  |  1356637086 in an XML format XML  formats.

NPI Number : 1356637086 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1356637086",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CLEVELAND",
    "FirstName": "BRANDON",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "QMHA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1350 E FLAMINGO RD",
    "SecondLineMailingAddress": "BOX 577",
    "MailingAddressCityName": "LAS VEGAS",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89119-5263",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "702-202-2902",
    "MailingAddressFaxNumber": "702-202-6551",
    "FirstLinePracticeLocationAddress": "3430 E FLAMINGO RD",
    "SecondLinePracticeLocationAddress": "STE 220",
    "PracticeLocationAddressCityName": "LAS VEGAS",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89121-5003",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "702-202-2902",
    "PracticeLocationAddressFaxNumber": "702-202-6551",
    "EnumerationDate": "06/21/2011",
    "LastUpdateDate": "06/21/2011",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "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
  }
}
                
            

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