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1881193290 NPI number — AMANDA TEW BCBA

NPI Number: 1881193290
Health Care Provider/Practitioner: AMANDA TEW BCBA

Information about “1881193290” NPI (AMANDA TEW BCBA) exists in 1881193290 in HTML format HTML  |  1881193290 in plain Text format TXT  |  1881193290 in PDF (Portable Document Format) PDF  |  1881193290 in an XML format XML  formats.

NPI Number : 1881193290 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881193290",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TEW",
    "FirstName": "AMANDA",
    "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": "4966 DOE RUN RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ROCKY MOUNT",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "24151-4558",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "757-710-6417",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "139 E COURT ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROCKY MOUNT",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "24151-1703",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "980-785-1113",
    "PracticeLocationAddressFaxNumber": "980-785-1114",
    "EnumerationDate": "02/12/2018",
    "LastUpdateDate": "02/23/2022",
    "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": "RBT-18-47595",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103K00000X",
          "TaxonomyName": "Behavior Analyst",
          "LicenseNumber": null,
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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