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1992324552 NPI number — MAICEE MERCER ACOSTA BCBA

NPI Number: 1992324552
Health Care Provider/Practitioner: MAICEE MERCER ACOSTA BCBA

Information about “1992324552” NPI (MAICEE MERCER ACOSTA BCBA) exists in 1992324552 in HTML format HTML  |  1992324552 in plain Text format TXT  |  1992324552 in PDF (Portable Document Format) PDF  |  1992324552 in an XML format XML  formats.

NPI Number : 1992324552 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1992324552",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ACOSTA",
    "FirstName": "MAICEE",
    "MiddleName": "MERCER",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "BCBA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MERCER",
    "OtherFirstName": "MAICEE",
    "OtherMiddleName": "LEANN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "PO BOX 1823",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WEST MONROE",
    "MailingAddressStateName": "LA",
    "MailingAddressPostalCode": "71294-1823",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "318-588-8908",
    "MailingAddressFaxNumber": "318-588-8909",
    "FirstLinePracticeLocationAddress": "2808 KILPATRICK BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MONROE",
    "PracticeLocationAddressStateName": "LA",
    "PracticeLocationAddressPostalCode": "71201-5139",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "318-588-8908",
    "PracticeLocationAddressFaxNumber": "318-588-8909",
    "EnumerationDate": "04/14/2020",
    "LastUpdateDate": "06/05/2025",
    "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": "L-949",
        "LicenseNumberStateCode": "LA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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