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1700497385 NPI number — ISIOMA DEBORAH OKONKWO RBT

NPI Number: 1700497385
Health Care Provider/Practitioner: ISIOMA DEBORAH OKONKWO RBT

Information about “1700497385” NPI (ISIOMA DEBORAH OKONKWO RBT) exists in 1700497385 in HTML format HTML  |  1700497385 in plain Text format TXT  |  1700497385 in PDF (Portable Document Format) PDF  |  1700497385 in an XML format XML  formats.

NPI Number : 1700497385 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1700497385",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "OKONKWO",
    "FirstName": "ISIOMA",
    "MiddleName": "DEBORAH",
    "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": "3704 KAYSON ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SILVER SPRING",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20906-5128",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "443-570-2409",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "10015 OLD COLUMBIA RD STE B215",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COLUMBIA",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21046-1865",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "443-566-9422",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/16/2020",
    "LastUpdateDate": "08/16/2020",
    "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-19-94414",
        "LicenseNumberStateCode": "MD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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