NPI Code Detail JSON Logo

1710860309 NPI number — AVA ROSE NOSS

NPI Number: 1710860309
Health Care Provider/Practitioner: AVA ROSE NOSS

Information about “1710860309” NPI (AVA ROSE NOSS) exists in 1710860309 in HTML format HTML  |  1710860309 in plain Text format TXT  |  1710860309 in PDF (Portable Document Format) PDF  |  1710860309 in an XML format XML  formats.

NPI Number : 1710860309 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710860309",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NOSS",
    "FirstName": "AVA",
    "MiddleName": "ROSE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RATCLIFFE",
    "OtherFirstName": "AZIAH AVERY",
    "OtherMiddleName": "ROSE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "640 FREEDOM BUSINESS CTR DR STE 220",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "KING OF PRUSSIA",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "19406-1376",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3 PARK PLZ STE 101",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WYOMISSING",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "19610-1399",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "484-965-9966",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/30/2025",
    "LastUpdateDate": "07/30/2025",
    "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": "106S00000X",
        "TaxonomyName": "Behavior Technician",
        "LicenseNumber": "RBT-25-454799",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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