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1881484863 NPI number — ANGLIA DAKOTA BRADFORD BCABA

NPI Number: 1881484863
Health Care Provider/Practitioner: ANGLIA DAKOTA BRADFORD BCABA

Information about “1881484863” NPI (ANGLIA DAKOTA BRADFORD BCABA) exists in 1881484863 in HTML format HTML  |  1881484863 in plain Text format TXT  |  1881484863 in PDF (Portable Document Format) PDF  |  1881484863 in an XML format XML  formats.

NPI Number : 1881484863 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1881484863",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BRADFORD",
    "FirstName": "ANGLIA",
    "MiddleName": "DAKOTA",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "BCABA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "820 S UNIVERSITY BLVD STE 2H",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MOBILE",
    "MailingAddressStateName": "AL",
    "MailingAddressPostalCode": "36609-7860",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "251-340-2020",
    "MailingAddressFaxNumber": "251-973-8201",
    "FirstLinePracticeLocationAddress": "820 S UNIVERSITY BLVD STE 2H",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MOBILE",
    "PracticeLocationAddressStateName": "AL",
    "PracticeLocationAddressPostalCode": "36609-7860",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "251-340-2020",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/12/2025",
    "LastUpdateDate": "05/12/2025",
    "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": "0-25-16097",
        "LicenseNumberStateCode": "AL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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