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1730073263 NPI number — NAREEN ALEXA LADJAVARDI

NPI Number: 1730073263
Health Care Provider/Practitioner: NAREEN ALEXA LADJAVARDI

Information about “1730073263” NPI (NAREEN ALEXA LADJAVARDI) exists in 1730073263 in HTML format HTML  |  1730073263 in plain Text format TXT  |  1730073263 in PDF (Portable Document Format) PDF  |  1730073263 in an XML format XML  formats.

NPI Number : 1730073263 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1730073263",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LADJAVARDI",
    "FirstName": "NAREEN",
    "MiddleName": "ALEXA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LADJAVARDI",
    "OtherFirstName": "NAREEN",
    "OtherMiddleName": "ALEXA",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "3100 AIRWAY AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COSTA MESA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92626-4630",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "949-416-9761",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2449 ELEMENTS WAY",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "IRVINE",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92612-1536",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "949-416-9761",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/09/2025",
    "LastUpdateDate": "06/09/2025",
    "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": "103K00000X",
        "TaxonomyName": "Behavior Analyst",
        "LicenseNumber": "Y1880049",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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