NPI Code Detail JSON Logo

1477296036 NPI number — ADVANCE BEHAVIOR HEALTHCARE ASSOCIATE INC

NPI Number: 1477296036
Health Care Provider/Practitioner: ADVANCE BEHAVIOR HEALTHCARE ASSOCIATE INC

Information about “1477296036” NPI (ADVANCE BEHAVIOR HEALTHCARE ASSOCIATE INC) exists in 1477296036 in HTML format HTML  |  1477296036 in plain Text format TXT  |  1477296036 in PDF (Portable Document Format) PDF  |  1477296036 in an XML format XML  formats.

NPI Number : 1477296036 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477296036",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "ADVANCE BEHAVIOR HEALTHCARE ASSOCIATE INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "61 SPRING ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PLAINVILLE",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "02762-1966",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "508-743-5542",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "243 MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BUZZARDS BAY",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "02532-3229",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "508-743-5542",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/20/2022",
    "LastUpdateDate": "04/20/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MATTHEWS",
    "AuthorizedOfficialFirstName": "PAMELA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "APRN",
    "AuthorizedOfficialTelephoneNumber": "508-743-5542",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "163WP0809X",
        "TaxonomyName": "Adult Psychiatric/Mental Health Registered Nurse",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NULL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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