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1508765413 NPI number — VICTORIA GUEVARA

NPI Number: 1508765413
Health Care Provider/Practitioner: VICTORIA GUEVARA

Information about “1508765413” NPI (VICTORIA GUEVARA) exists in 1508765413 in HTML format HTML  |  1508765413 in plain Text format TXT  |  1508765413 in PDF (Portable Document Format) PDF  |  1508765413 in an XML format XML  formats.

NPI Number : 1508765413 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1508765413",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GUEVARA",
    "FirstName": "VICTORIA",
    "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": "5495 S CATHERINE AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COUNTRYSIDE",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60525-2844",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "708-530-1535",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1272 BOND ST STE 100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NAPERVILLE",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60563-3084",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "855-444-5664",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/05/2026",
    "LastUpdateDate": "11/05/2026",
    "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": "103K00000X",
        "TaxonomyName": "Behavior Analyst",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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