NPI Code Detail JSON Logo

1902445711 NPI number — KAYLA ARIELLE WHITE

NPI Number: 1902445711
Health Care Provider/Practitioner: KAYLA ARIELLE WHITE

Information about “1902445711” NPI (KAYLA ARIELLE WHITE) exists in 1902445711 in HTML format HTML  |  1902445711 in plain Text format TXT  |  1902445711 in PDF (Portable Document Format) PDF  |  1902445711 in an XML format XML  formats.

NPI Number : 1902445711 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1902445711",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WHITE",
    "FirstName": "KAYLA",
    "MiddleName": "ARIELLE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "ZULUAGA",
    "OtherFirstName": "KAYLA",
    "OtherMiddleName": "ARIELLE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "41 BUTTERNUT RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GROTON",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06340-2925",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "105 BRIDGE ST # 170105",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GROTON",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06340-3603",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "833-747-4222",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "12/26/2019",
    "LastUpdateDate": "07/09/2025",
    "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": "103K00000X",
        "TaxonomyName": "Behavior Analyst",
        "LicenseNumber": "BA002136",
        "LicenseNumberStateCode": "CT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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