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1992298699 NPI number — KALA MYERS DESTREE KALA DESTREE, BCBA

NPI Number: 1992298699
Health Care Provider/Practitioner: KALA MYERS DESTREE KALA DESTREE, BCBA

Information about “1992298699” NPI (KALA MYERS DESTREE KALA DESTREE, BCBA) exists in 1992298699 in HTML format HTML  |  1992298699 in plain Text format TXT  |  1992298699 in PDF (Portable Document Format) PDF  |  1992298699 in an XML format XML  formats.

NPI Number : 1992298699 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1992298699",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DESTREE",
    "FirstName": "KALA",
    "MiddleName": "MYERS",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "KALA DESTREE, BCBA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "316 INGAL BLVD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SALEM",
    "MailingAddressStateName": "VA",
    "MailingAddressPostalCode": "24153-7919",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "540-819-7035",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1320 PLANTATION RD NE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ROANOKE",
    "PracticeLocationAddressStateName": "VA",
    "PracticeLocationAddressPostalCode": "24012-5713",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "540-266-7903",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/07/2018",
    "LastUpdateDate": "05/14/2025",
    "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": null,
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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