Julia Sophia Athas, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-51015 Issued in FL

Practice address

1060 W State Road 434 Ste 108
Longwood, FL 32750-4953

Phone

(407) 324-7772

NPI assigned

Aug 10, 2018

Last updated

Jul 6, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Blue Path ABA

  dba Applied Behavior Center

  • Behavior Analyst
  • Longwood, FL
  • NPI 1891950671
  NPD

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1730668633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 ENGLISH TOWN LN APT 201",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327084682",
            "telephone_number": "407-462-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 W STATE ROAD 434 STE 108",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504953",
            "telephone_number": "407-324-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHAS",
        "first_name": "JULIA",
        "middle_name": "SOPHIA",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-10",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-21-51015",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lara Walid Asous
• Associated Family Medicine II, PA
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• Associated Inpatient Services, Inc.
• Michael George Atkinson, PTA
• Corinne R Audette, CNM
• Patrick Raymond Audley, M.D.
• Aurora Center for Autism
• Aurumhealth Mobile Medicine

• Behavior Analyst in Longwood, FL
• Providers in Longwood, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.