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1386231587 NPI number — BRIANA NICOLE BOSKOVICH

NPI Number: 1386231587
Health Care Provider/Practitioner: BRIANA NICOLE BOSKOVICH

Information about “1386231587” NPI (BRIANA NICOLE BOSKOVICH) exists in 1386231587 in HTML format HTML  |  1386231587 in plain Text format TXT  |  1386231587 in PDF (Portable Document Format) PDF  |  1386231587 in an XML format XML  formats.

NPI Number : 1386231587 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1386231587",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BOSKOVICH",
    "FirstName": "BRIANA",
    "MiddleName": "NICOLE",
    "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": "225 SIMI VILLAGE DR # 940202",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SIMI VALLEY",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93094-7001",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "818-451-8585",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5550 TELEGRAPH RD STE C3",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "VENTURA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93003-4263",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "805-222-0136",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/22/2020",
    "LastUpdateDate": "10/17/2023",
    "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": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "390200000X",
          "TaxonomyName": "Student in an Organized Health Care Education/Training Program",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "137877",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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