{
"Npi": {
"NPI": "1982172748",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LOPEZ",
"FirstName": "SHEENA",
"MiddleName": "RAE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "CRAIN",
"OtherFirstName": "SHEENA",
"OtherMiddleName": "RAE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "SHEENA CRAIN",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "30735 LAVIGNE LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ALBANY",
"MailingAddressStateName": "LA",
"MailingAddressPostalCode": "70711-3135",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "985-415-4157",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1250 SW RAILROAD AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HAMMOND",
"PracticeLocationAddressStateName": "LA",
"PracticeLocationAddressPostalCode": "70403-5001",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "985-500-3240",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "11/08/2018",
"LastUpdateDate": "11/08/2018",
"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": "008450607",
"LicenseNumberStateCode": "LA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}