John N Aclan

Key facts

NPI

1669141990

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Technician 106S00000X

Practice address

412 1St St SE Rear Lower
Washington, DC 20003-1804

Phone

(202) 470-4185

NPI assigned

Sep 9, 2021

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 9, 2021.

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1669141990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8763 ELSING GREEN DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201122455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 1ST ST SE REAR LOWER",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200031804",
            "telephone_number": "202-470-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACLAN",
        "first_name": "JOHN",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.aclan@nationaltherapycenter.com",
            "affiliation": "Y",
            "affiliationName": "National Speech Language Therapy Center",
            "address_1": "412 1st St SE Rear Lower",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200031804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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