{
"Npi": {
"NPI": "1497010607",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ROBBINS",
"FirstName": "JESSICA",
"MiddleName": "A.",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "BCABA, LABA",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "WOZNIAK",
"OtherFirstName": "JESSICA",
"OtherMiddleName": "A.",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "BCABA",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "7923 BARTLETT PEAK ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAS VEGAS",
"MailingAddressStateName": "NV",
"MailingAddressPostalCode": "89166-5030",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "413-330-3908",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "3130 S DURANGO DR STE 425",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAS VEGAS",
"PracticeLocationAddressStateName": "NV",
"PracticeLocationAddressPostalCode": "89117-4455",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "702-626-3411",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/13/2012",
"LastUpdateDate": "07/21/2022",
"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": "0-06-2061",
"LicenseNumberStateCode": "MA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}