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1740105014 NPI number — BEAMING KIDS VA LLC

NPI Number: 1740105014
Health Care Provider/Practitioner: BEAMING KIDS VA LLC

Information about “1740105014” NPI (BEAMING KIDS VA LLC) exists in 1740105014 in HTML format HTML  |  1740105014 in plain Text format TXT  |  1740105014 in PDF (Portable Document Format) PDF  |  1740105014 in an XML format XML  formats.

NPI Number : 1740105014 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1740105014",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "BEAMING KIDS ABA",
    "ParentOrgTIN": null,
    "OrgName": "BEAMING KIDS VA LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "11815 FOUNTAIN WAY STE 300",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEWPORT NEWS",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "23606-4448",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "410-401-0042",
    "MailingAddressFaxNumber": "410-216-1069",
    "FirstLinePracticeLocationAddress": "74 CARASALJO DR,",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LAKEWOOD",
    "PracticeLocationAddressStateName": "NJ",
    "PracticeLocationAddressPostalCode": "08701",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "410-401-0042",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/13/2026",
    "LastUpdateDate": "08/13/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "YORMARK",
    "AuthorizedOfficialFirstName": "AVRAHAM",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "410-401-0042",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103K00000X",
          "TaxonomyName": "Behavior Analyst",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "106E00000X",
          "TaxonomyName": "Assistant Behavior Analyst",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106S00000X",
          "TaxonomyName": "Behavior Technician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

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