Julie Eshleman, M. ED., BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-10-7867 Issued in TX

Practice address

3400 Malone Dr Unit 119
Chamblee, GA 30341-2706

Phone

(404) 721-3275

NPI assigned

Dec 22, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Julie Elizabeth Taylor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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

{
    "created_epoch": "1324512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418169600000",
    "number": "1992074702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 MALONE DR UNIT 119",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412706",
            "telephone_number": "404-721-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 MALONE DR UNIT 119",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412706",
            "telephone_number": "404-721-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESHLEMAN",
        "first_name": "JULIE",
        "name_prefix": "Mrs.",
        "credential": "M. ED., BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-22",
        "last_updated": "2014-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-10-7867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "TAYLOR",
            "middle_name": "ELIZABETH",
            "credential": "M. ED., BCBA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Chamblee, GA
• Behavior Analyst in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.