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1891337937 NPI number — AUTISM CENTER FOR DEVELOPMENT AND BEHAVIOR

NPI Number: 1891337937
Health Care Provider/Practitioner: AUTISM CENTER FOR DEVELOPMENT AND BEHAVIOR

Information about “1891337937” NPI (AUTISM CENTER FOR DEVELOPMENT AND BEHAVIOR) exists in 1891337937 in HTML format HTML  |  1891337937 in plain Text format TXT  |  1891337937 in PDF (Portable Document Format) PDF  |  1891337937 in an XML format XML  formats.

NPI Number : 1891337937 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1891337937",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "AUTISM CENTER FOR DEVELOPMENT AND BEHAVIOR",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "160 SAGECREST CIR APT 103",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WEST MELBOURNE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32904-8664",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "281-740-3080",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "160 SAGECREST CIR APT 103",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WEST MELBOURNE",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32904-8664",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "281-740-3080",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/10/2019",
    "LastUpdateDate": "08/14/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "RIEPL",
    "AuthorizedOfficialFirstName": "ED",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "DIRECTOR.",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "321-301-0066",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251C00000X",
        "TaxonomyName": "Developmentally Disabled Services Day Training Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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