Julie Castleman Coleman
Individual provider Active NPI Behavior Technician · Vidalia, GA
NPI 1497572333 · NPPES record last updated Sep 23, 2024
Key facts
- NPI
- 1497572333
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 812 Maple Dr Apt 12
Vidalia, GA 30474-7240 - Phone
- (912) 245-8308
- NPI assigned
- Sep 23, 2024
- Sex
- Female
- 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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
812 Maple Dr Apt 12
Vidalia, GA 30474-7240
Mailing address
812 Maple Dr Apt 12
Vidalia, GA 30474-7240
Phone (912) 245-8308
Other providers in Vidalia, GA
- Kristin Clifton
- Henry D Cline
- Mymie T Clinton
- Adam Joseph Cobb
- Allahna Allybia Coggins
- Katherine Collins
- Paige Collins
- Gwynn S Colvin
- Angela Combs
- Paul Russell Combs
All providers in Vidalia, GA · Behavior Technician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.