NPI 1992293062 · live from the CMS NPI Registry
Julia Ann Baccus
Behavior Analyst in Tumwater, WA. National Provider Identifier 1992293062, active.
NPI record
| NPI | 1992293062 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 6330 Capitol Blvd Se, Tumwater, WA 98501 |
| Practice phone | 360-915-6934 |
| Mailing address | 3443 Lilly Rd Ne Ste B, Olympia, WA 98506 |
| Enumerated | April 24, 2018 |
| Last updated | October 6, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — (WA) |
| Behavior Analyst primary | 103K00000X | BA61219525 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.