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1871941831 NPI number — LAYNIE VILLENEUVE BCBA

NPI Number: 1871941831
Health Care Provider/Practitioner: LAYNIE VILLENEUVE BCBA

Information about “1871941831” NPI (LAYNIE VILLENEUVE BCBA) exists in 1871941831 in HTML format HTML  |  1871941831 in plain Text format TXT  |  1871941831 in PDF (Portable Document Format) PDF  |  1871941831 in an XML format XML  formats.

NPI Number : 1871941831 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1871941831",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "VILLENEUVE",
    "FirstName": "LAYNIE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "BCBA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "10781 E CHERRY BEND RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "TRAVERSE CITY",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49684-5249",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "231-268-0007",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "217 LINCOLN CT",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROCKFORD",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49341-1319",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "239-908-7724",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/01/2016",
    "LastUpdateDate": "12/31/2025",
    "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": "106E00000X",
          "TaxonomyName": "Assistant Behavior Analyst",
          "LicenseNumber": "7402000107",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "247200000X",
          "TaxonomyName": "Other Technician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106S00000X",
          "TaxonomyName": "Behavior Technician",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103K00000X",
          "TaxonomyName": "Behavior Analyst",
          "LicenseNumber": "7401003169",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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