NPI Code Detail JSON Logo

1821638701 NPI number — ANNA SOLES BCBA ABA MS

NPI Number: 1821638701
Health Care Provider/Practitioner: ANNA SOLES BCBA ABA MS

Information about “1821638701” NPI (ANNA SOLES BCBA ABA MS) exists in 1821638701 in HTML format HTML  |  1821638701 in plain Text format TXT  |  1821638701 in PDF (Portable Document Format) PDF  |  1821638701 in an XML format XML  formats.

NPI Number : 1821638701 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821638701",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SOLES",
    "FirstName": "ANNA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "BCBA   ABA   MS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "390 RIVER STREET",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SPRINGFIELD",
    "MailingAddressStateName": "VT",
    "MailingAddressPostalCode": "05156-2226",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "802-886-4500",
    "MailingAddressFaxNumber": "802-886-4520",
    "FirstLinePracticeLocationAddress": "51 FAIRVIEW STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BRATTLEBORO",
    "PracticeLocationAddressStateName": "VT",
    "PracticeLocationAddressPostalCode": "05301-6629",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "802-254-6028",
    "PracticeLocationAddressFaxNumber": "802-254-7501",
    "EnumerationDate": "01/08/2020",
    "LastUpdateDate": "09/19/2024",
    "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": "LABA50000879",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103K00000X",
          "TaxonomyName": "Behavior Analyst",
          "LicenseNumber": "1-22-62821",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103K00000X",
          "TaxonomyName": "Behavior Analyst",
          "LicenseNumber": "146.0134292",
          "LicenseNumberStateCode": "VT",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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