NPI Code Detail JSON Logo

1477005379 NPI number — AHIO INCORPORATED

NPI Number: 1477005379
Health Care Provider/Practitioner: AHIO INCORPORATED

Information about “1477005379” NPI (AHIO INCORPORATED) exists in 1477005379 in HTML format HTML  |  1477005379 in plain Text format TXT  |  1477005379 in PDF (Portable Document Format) PDF  |  1477005379 in an XML format XML  formats.

NPI Number : 1477005379 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477005379",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AHIO INCORPORATED",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "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": "5740 36TH LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VERO BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32966-1870",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "772-257-9817",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5740 36TH LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "VERO BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32966-1870",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "772-257-9817",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/26/2016",
    "LastUpdateDate": "03/29/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DOMINGUEZ",
    "AuthorizedOfficialFirstName": "ASHLEIGH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "772-257-9817",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103K00000X",
          "TaxonomyName": "Behavior Analyst",
          "LicenseNumber": "1-16-21334",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106S00000X",
          "TaxonomyName": "Behavior Technician",
          "LicenseNumber": "16-14411",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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