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1902135791 NPI number — THE EARLY INTERVENTION CENTER

NPI Number: 1902135791
Health Care Provider/Practitioner: THE EARLY INTERVENTION CENTER

Information about “1902135791” NPI (THE EARLY INTERVENTION CENTER) exists in 1902135791 in HTML format HTML  |  1902135791 in plain Text format TXT  |  1902135791 in PDF (Portable Document Format) PDF  |  1902135791 in an XML format XML  formats.

NPI Number : 1902135791 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902135791",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "THE EARLY INTERVENTION CENTER",
    "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": "32500 TELEGRAPH RD",
    "SecondLineMailingAddress": "SUITE 209",
    "MailingAddressCityName": "BINGHAM FARMS",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "48025-2461",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "248-988-9356",
    "MailingAddressFaxNumber": "248-723-3341",
    "FirstLinePracticeLocationAddress": "18300 W 12 MILE RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOUTHFIELD",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "48076-2670",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "248-559-5820",
    "PracticeLocationAddressFaxNumber": "248-559-5822",
    "EnumerationDate": "12/08/2009",
    "LastUpdateDate": "12/08/2009",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ROSE",
    "AuthorizedOfficialFirstName": "KRIS",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "ACCOUNTANT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "248-988-9356",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "103K00000X",
        "TaxonomyName": "Behavior Analyst",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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