MEDICARE: JULIE MELISSA SCHULZ

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1912575085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE MELISSA SCHULZ

Provider Business Mailing Address
First Line	:	15400 DREXEL CT
Second Line	:
City	:	APPLE VALLEY
State	:	MN
Zip	:	55124-6832
Country	:	US
Telephone Number	:	612-963-5143
Fax Number	:

Provider Business Practice Location Address
First Line	:	15400 DREXEL CT
Second Line	:
City	:	APPLE VALLEY
State	:	MN
Zip	:	55124-6832
Country	:	US
Telephone Number	:	612-963-5143
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2021
Last Update Date	:	06/15/2021

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Directions to “ JULIE MELISSA SCHULZ ” Practice Location

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