Individual provider Active NPI

Tawnya E Julius, BCBA

  • Behavior Analyst
  • Ammon, ID
National Provider Identifier
1043652530
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-18-31702 Issued in NU
Practice address
3044 Madeline CT
Ammon, ID 83406-4581
Phone
(208) 403-8576
NPI assigned
Jul 24, 2013
Last updated
Dec 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-18-31702 NU Primary

Addresses

Primary practice location

3044 Madeline CT
Ammon, ID 83406-4581

Mailing address

3044 Madeline CT
Ammon, ID 83406-4581
Phone (208) 403-8576

Other practice location 1

120 S Freeman Ave
Idaho Falls, ID 83401-4074
Phone (208) 403-8576

Other practice location 2

2267 Teton Plz
Idaho Falls, ID 83404-6486
Phone (208) 522-0140 ext. 1221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Julius Behavioral Corporation CurrentSince Oct 5, 2021 Accepting new patients

Locations

120 S Freeman Ave
Idaho Falls, ID 83401
Phone (208) 403-8576

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1043652530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 MADELINE CT",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064581",
            "telephone_number": "208-403-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 MADELINE CT",
            "city": "AMMON",
            "state": "ID",
            "postal_code": "834064581",
            "telephone_number": "208-403-8576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 S Freeman Ave",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834014074",
            "country_code": "US",
            "telephone_number": "208-403-8576",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2267 Teton Plz",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834046486",
            "country_code": "US",
            "telephone_number": "208-522-0140 x1221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JULIUS",
        "first_name": "TAWNYA",
        "middle_name": "E",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-24",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": "1-18-31702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ammon, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.