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NPI Code Detail

MEDICARE: JULIA RICHARDSON

MEDICARE: JULIA RICHARDSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-26-524025HI

General Provider Information

NPI Number : 1154263622
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA RICHARDSON
Provider Business Mailing Address
First Line : 420 WAIAKAMILO RD STE 202
Second Line :
City : HONOLULU
State : HI
Zip : 96817-4950
Country : US
Telephone Number : 808-845-0102
Fax Number : 808-442-4582
Provider Business Practice Location Address
First Line : 420 WAIAKAMILO RD STE 202
Second Line :
City : HONOLULU
State : HI
Zip : 96817-4950
Country : US
Telephone Number : 808-845-0102
Fax Number : 808-442-4582
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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