{
"Npi": {
"NPI": "1982403911",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "TUCKER",
"FirstName": "NIKITA",
"MiddleName": "SENNOVIA",
"NamePrefix": "MS.",
"NameSuffix": null,
"Credential": "RBT",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "TUCKER",
"OtherFirstName": "NIKITA",
"OtherMiddleName": "SENNOVIA",
"OtherNamePrefix": "MS.",
"OtherNameSuffix": null,
"OtherCredential": "RBT",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "5208 LIME AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SEFFNER",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33584-4420",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "813-786-0053",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2111 W SWANN AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "TAMPA",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33606-2477",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "813-251-1618",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/11/2025",
"LastUpdateDate": "03/11/2025",
"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": "106S00000X",
"TaxonomyName": "Behavior Technician",
"LicenseNumber": "RBT--25-415186",
"LicenseNumberStateCode": "GA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}