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1952898892 NPI number — KATELYN ELISE SOCHANEK MA, BCBA, LBA

NPI Number: 1952898892
Health Care Provider/Practitioner: KATELYN ELISE SOCHANEK MA, BCBA, LBA

Information about “1952898892” NPI (KATELYN ELISE SOCHANEK MA, BCBA, LBA) exists in 1952898892 in HTML format HTML  |  1952898892 in plain Text format TXT  |  1952898892 in PDF (Portable Document Format) PDF  |  1952898892 in an XML format XML  formats.

NPI Number : 1952898892 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1952898892",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SOCHANEK",
    "FirstName": "KATELYN",
    "MiddleName": "ELISE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MA, BCBA, LBA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "SOCHANEK",
    "OtherFirstName": "KATELYN",
    "OtherMiddleName": "ELISE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "2142 TREMONT BLVD NW",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GRAND RAPIDS",
    "MailingAddressStateName": "MI",
    "MailingAddressPostalCode": "49504-4757",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "616-914-3854",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1000 E PARIS AVE SE STE 160",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GRAND RAPIDS",
    "PracticeLocationAddressStateName": "MI",
    "PracticeLocationAddressPostalCode": "49546-8313",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "616-914-3854",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/17/2018",
    "LastUpdateDate": "12/15/2022",
    "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": "106S00000X",
          "TaxonomyName": "Behavior Technician",
          "LicenseNumber": "RTB-17-40223",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "103K00000X",
          "TaxonomyName": "Behavior Analyst",
          "LicenseNumber": "7401001180",
          "LicenseNumberStateCode": "MI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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