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1801305834 NPI number — JACQUELINE CUNNINGHAM MA, BCBA, LBA

NPI Number: 1801305834
Health Care Provider/Practitioner: JACQUELINE CUNNINGHAM MA, BCBA, LBA

Information about “1801305834” NPI (JACQUELINE CUNNINGHAM MA, BCBA, LBA) exists in 1801305834 in HTML format HTML  |  1801305834 in plain Text format TXT  |  1801305834 in PDF (Portable Document Format) PDF  |  1801305834 in an XML format XML  formats.

NPI Number : 1801305834 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1801305834",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CUNNINGHAM",
    "FirstName": "JACQUELINE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MA, BCBA, LBA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "OWENS",
    "OtherFirstName": "JACQUELINE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "775 GATEWAY DR SE APT 1228",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LEESBURG",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "20175-4097",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "703-508-0387",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "11350 RANDOM HILLS RD STE 240",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FAIRFAX",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "22030-6044",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "703-537-0700",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/21/2017",
    "LastUpdateDate": "09/21/2017",
    "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": "0133000988",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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