Kalie Bible

Key facts

NPI

1265970321

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Analyst 103K00000X

License

BACB272415 (AL)

Practice address

404 Madison Ave NW
Jacksonville, AL 36265-2131

Phone

(256) 591-8765

NPI assigned

Feb 8, 2017

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 8, 2017.

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1265970321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 MADISON AVE NW",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362652131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 MADISON AVE NW",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362652131",
            "telephone_number": "256-591-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIBLE",
        "first_name": "KALIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AL",
            "license": "BACB272415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Jacksonville, AL · Behavior Analyst in Alabama