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1689298531 NPI number — MRS. MARY ETTA CASTLES ABLE

NPI Number: 1689298531
Health Care Provider/Practitioner: MRS. MARY ETTA CASTLES ABLE

Information about “1689298531” NPI (MRS. MARY ETTA CASTLES ABLE) exists in 1689298531 in HTML format HTML  |  1689298531 in plain Text format TXT  |  1689298531 in PDF (Portable Document Format) PDF  |  1689298531 in an XML format XML  formats.

NPI Number : 1689298531 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689298531",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ABLE",
    "FirstName": "MARY",
    "MiddleName": "ETTA CASTLES",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CASTSLES",
    "OtherFirstName": "MARY",
    "OtherMiddleName": "ETTA",
    "OtherNamePrefix": "MISS",
    "OtherNameSuffix": null,
    "OtherCredential": "BCBA",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1505 BLANDING ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COLUMBIA",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29201-2906",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2805 MILLWOOD AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLUMBIA",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29205-1298",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "803-234-8596",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/05/2020",
    "LastUpdateDate": "06/01/2022",
    "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": "1-18-30002",
        "LicenseNumberStateCode": "SC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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