NPI Code Detail JSON Logo

1447108006 NPI number — ROCIO LOPEZ BA

NPI Number: 1447108006
Health Care Provider/Practitioner: ROCIO LOPEZ BA

Information about “1447108006” NPI (ROCIO LOPEZ BA) exists in 1447108006 in HTML format HTML  |  1447108006 in plain Text format TXT  |  1447108006 in PDF (Portable Document Format) PDF  |  1447108006 in an XML format XML  formats.

NPI Number : 1447108006 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1447108006",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LOPEZ",
    "FirstName": "ROCIO",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "BA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 404",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "HAZELTON",
    "MailingAddressStateName": "ID",
    "MailingAddressPostalCode": "83335-0404",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "208-490-1410",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "433 PARK ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HAZELTON",
    "PracticeLocationAddressStateName": "ID",
    "PracticeLocationAddressPostalCode": "83335",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "208-490-1410",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/19/2026",
    "LastUpdateDate": "03/19/2026",
    "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": "VG478686E",
        "LicenseNumberStateCode": "ID",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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