NPI Code Detail JSON Logo

1881000305 NPI number — STEPHANIE CIARAVOLO MS, BCBA

NPI Number: 1881000305
Health Care Provider/Practitioner: STEPHANIE CIARAVOLO MS, BCBA

Information about “1881000305” NPI (STEPHANIE CIARAVOLO MS, BCBA) exists in 1881000305 in HTML format HTML  |  1881000305 in plain Text format TXT  |  1881000305 in PDF (Portable Document Format) PDF  |  1881000305 in an XML format XML  formats.

NPI Number : 1881000305 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881000305",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CIARAVOLO",
    "FirstName": "STEPHANIE",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MS, BCBA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HOWARD",
    "OtherFirstName": "STEPHANIE",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "1235 SUNSET RIDGE RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NORTHBROOK",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60062-4803",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "516-655-8159",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6339 CHARLOTTE PIKE STE 2057",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NASHVILLE",
    "PracticeLocationAddressStateName": "TN",
    "PracticeLocationAddressPostalCode": "37209-2926",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "628-250-7500",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/03/2014",
    "LastUpdateDate": "03/02/2023",
    "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": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.