{
"Npi": {
"NPI": "1518556133",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HUTCHINSON",
"FirstName": "SHAMARLA",
"MiddleName": "TEAKE",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "BCBA",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "PARKS-BULLARD",
"OtherFirstName": "SHAMARLA",
"OtherMiddleName": "TEAKE",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "1008 GREEN PINE BLVD APT H1",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WEST PALM BEACH",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33409-7019",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "754-367-1087",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1696 S MILITARY TRL STE C",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WEST PALM BEACH",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33415-5625",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "561-284-6534",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/18/2021",
"LastUpdateDate": "03/05/2025",
"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": "106E00000X",
"TaxonomyName": "Assistant Behavior Analyst",
"LicenseNumber": "0-24-15117",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "103K00000X",
"TaxonomyName": "Behavior Analyst",
"LicenseNumber": "1-25-79741",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}