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1811489255 NPI number — KIKORA LAINI KAI SMITH

NPI Number: 1811489255
Health Care Provider/Practitioner: KIKORA LAINI KAI SMITH

Information about “1811489255” NPI (KIKORA LAINI KAI SMITH) exists in 1811489255 in HTML format HTML  |  1811489255 in plain Text format TXT  |  1811489255 in PDF (Portable Document Format) PDF  |  1811489255 in an XML format XML  formats.

NPI Number : 1811489255 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1811489255",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SMITH",
    "FirstName": "KIKORA",
    "MiddleName": "LAINI KAI",
    "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": "1025 SOLAMERE DR APT 106",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TITUSVILLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32780-5881",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "321-607-1281",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "12315 LAKE UNDERHILL RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ORLANDO",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32828-4507",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "321-972-4039",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/01/2018",
    "LastUpdateDate": "06/30/2025",
    "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": "21-196633",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106S00000X",
          "TaxonomyName": "Behavior Technician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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