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1710102298 NPI number — BOBBYE RUTH RECORDS CCC/SLP, BCBA

NPI Number: 1710102298
Health Care Provider/Practitioner: BOBBYE RUTH RECORDS CCC/SLP, BCBA

Information about “1710102298” NPI (BOBBYE RUTH RECORDS CCC/SLP, BCBA) exists in 1710102298 in HTML format HTML  |  1710102298 in plain Text format TXT  |  1710102298 in PDF (Portable Document Format) PDF  |  1710102298 in an XML format XML  formats.

NPI Number : 1710102298 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710102298",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RECORDS",
    "FirstName": "BOBBYE",
    "MiddleName": "RUTH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "CCC/SLP, BCBA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2104 GREENBRIAR DR STE A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOUTHLAKE",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76092-8355",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "817-442-9022",
    "MailingAddressFaxNumber": "866-300-8627",
    "FirstLinePracticeLocationAddress": "2104 GREENBRIAR DR STE A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOUTHLAKE",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76092-8355",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "817-442-9022",
    "PracticeLocationAddressFaxNumber": "866-300-8627",
    "EnumerationDate": "04/17/2007",
    "LastUpdateDate": "03/17/2018",
    "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": "1-10-7860",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": "13009",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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