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NPI Code Detail

MEDICARE: JULIA KOSATKA

MEDICARE: JULIA KOSATKA
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
1103K00000XBehavior AnalystRBT-23-257496GA

General Provider Information

NPI Number : 1831896976
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA KOSATKA
Provider Business Mailing Address
First Line : 6371 SEYMOUR PL NW
Second Line :
City : ACWORTH
State : GA
Zip : 30101-8063
Country : US
Telephone Number : 800-370-0393
Fax Number :
Provider Business Practice Location Address
First Line : 6371 SEYMOUR PL NW
Second Line :
City : ACWORTH
State : GA
Zip : 30101-8063
Country : US
Telephone Number : 800-370-0393
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2023
Last Update Date : 02/09/2023

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Directions to “ JULIA KOSATKA ” Practice Location

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