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1598580110 NPI number — JONATHAN LYON MA, LBS, BCBA

NPI Number: 1598580110
Health Care Provider/Practitioner: JONATHAN LYON MA, LBS, BCBA

Information about “1598580110” NPI (JONATHAN LYON MA, LBS, BCBA) exists in 1598580110 in HTML format HTML  |  1598580110 in plain Text format TXT  |  1598580110 in PDF (Portable Document Format) PDF  |  1598580110 in an XML format XML  formats.

NPI Number : 1598580110 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1598580110",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LYON",
    "FirstName": "JONATHAN",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MA, LBS, BCBA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5 SOUTHWATCH LN",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MECHANICSBURG",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "17050-8213",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "717-614-3506",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "7540 ALLENTOWN BLVD STE 5",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "HARRISBURG",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "17112-4238",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "223-797-1485",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/19/2024",
    "LastUpdateDate": "11/19/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103K00000X",
        "TaxonomyName": "Behavior Analyst",
        "LicenseNumber": "1-24-77346",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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