Julie Bartlett Hickerson, M.S., B.C.B.A., L.B.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BEH-000622 Issued in AZ

Practice address

28081 N Welton PL
San Tan Valley, AZ 85143-5859

Phone

(916) 397-4045

NPI assigned

May 4, 2016

Last updated

Apr 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Specialized Therapies for Autism and Related Services

  • Behavior Analyst
  • Gretna, LA
  • NPI 1104352038
  NPD (past) Authorized official

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1922454370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28081 N WELTON PL",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851435859",
            "telephone_number": "916-397-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28081 N WELTON PL",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851435859",
            "telephone_number": "916-397-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKERSON",
        "first_name": "JULIE",
        "middle_name": "BARTLETT",
        "name_prefix": "Mrs.",
        "credential": "M.S., B.C.B.A., L.B.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BEH-000622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Behavior Analyst in San Tan Valley, AZ
• Providers in San Tan Valley, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.