NPI Code Detail JSON Logo

1922372267 NPI number — BEHAVIORAL SUPPORT CENTER, LLC

NPI Number: 1922372267
Health Care Provider/Practitioner: BEHAVIORAL SUPPORT CENTER, LLC

Information about “1922372267” NPI (BEHAVIORAL SUPPORT CENTER, LLC) exists in 1922372267 in HTML format HTML  |  1922372267 in plain Text format TXT  |  1922372267 in PDF (Portable Document Format) PDF  |  1922372267 in an XML format XML  formats.

NPI Number : 1922372267 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922372267",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BEHAVIORAL SUPPORT CENTER, LLC",
    "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": "8546 BROADWAY ST",
    "SecondLineMailingAddress": "STE. 200",
    "MailingAddressCityName": "SAN ANTONIO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78217-6376",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "210-526-1806",
    "MailingAddressFaxNumber": "210-547-7984",
    "FirstLinePracticeLocationAddress": "8546 BROADWAY ST BLDG C",
    "SecondLinePracticeLocationAddress": "BLDG C SUITE 200",
    "PracticeLocationAddressCityName": "SAN ANTONIO",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78217-6376",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "210-526-1806",
    "PracticeLocationAddressFaxNumber": "210-547-7984",
    "EnumerationDate": "03/05/2012",
    "LastUpdateDate": "05/25/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "YBARRA",
    "AuthorizedOfficialFirstName": "JOHNNY",
    "AuthorizedOfficialMiddleName": "R.",
    "AuthorizedOfficialTitle": "CEO/EXECUTIVE DIRECTOR",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LCDC, MAC, SAP, QASP",
    "AuthorizedOfficialTelephoneNumber": "210-526-1806",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103K00000X",
          "TaxonomyName": "Behavior Analyst",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "LCDC TX: 12124",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "174400000X",
          "TaxonomyName": "Specialist",
          "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."
        },
        {
          "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."
        },
        {
          "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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