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1508756461 NPI number — LATIFAH WRIGHT RBT

NPI Number: 1508756461
Health Care Provider/Practitioner: LATIFAH WRIGHT RBT

Information about “1508756461” NPI (LATIFAH WRIGHT RBT) exists in 1508756461 in HTML format HTML  |  1508756461 in plain Text format TXT  |  1508756461 in PDF (Portable Document Format) PDF  |  1508756461 in an XML format XML  formats.

NPI Number : 1508756461 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508756461",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WRIGHT",
    "FirstName": "LATIFAH",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RBT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "16255 VENTURA BLVD STE 900",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ENCINO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91436-2317",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "803-335-0718",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "426 BUSH RIVER RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLUMBIA",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29210-7312",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "803-335-0718",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/03/2025",
    "LastUpdateDate": "07/03/2025",
    "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": "RBT-25-450300",
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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