NPI Code Detail JSON Logo

1417420928 NPI number — BREE TSURUE CHANG BCBA

NPI Number: 1417420928
Health Care Provider/Practitioner: BREE TSURUE CHANG BCBA

Information about “1417420928” NPI (BREE TSURUE CHANG BCBA) exists in 1417420928 in HTML format HTML  |  1417420928 in plain Text format TXT  |  1417420928 in PDF (Portable Document Format) PDF  |  1417420928 in an XML format XML  formats.

NPI Number : 1417420928 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417420928",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHANG",
    "FirstName": "BREE",
    "MiddleName": "TSURUE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "BCBA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CHANG",
    "OtherFirstName": "BREE",
    "OtherMiddleName": "T.",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": "BCBA",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "1654 W ADMIRALTY HEIGHTS LN BLDG A2-101",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BREMERTON",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98312-5362",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "808-721-8180",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1654 W ADMIRALTY HEIGHTS LANE",
    "SecondLinePracticeLocationAddress": "BLG A2 APT 101",
    "PracticeLocationAddressCityName": "BREMERTON",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98312-9831",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "808-721-8180",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/07/2019",
    "LastUpdateDate": "01/07/2019",
    "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": "1-18-34260",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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