MEDICARE: JULISA MONICO

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
2	373H00000X	Day Training/Habilitation Specialist		CA

General Provider Information

NPI Number	:	1922766328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULISA MONICO

Provider Business Mailing Address
First Line	:	921 W AVENUE J STE C
Second Line	:
City	:	LANCASTER
State	:	CA
Zip	:	93534-3443
Country	:	US
Telephone Number	:	661-949-0131
Fax Number	:	661-729-8912

Provider Business Practice Location Address
First Line	:	921 W AVENUE J STE C
Second Line	:
City	:	LANCASTER
State	:	CA
Zip	:	93534-3443
Country	:	US
Telephone Number	:	661-949-0131
Fax Number	:	661-729-8912

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

Provider Enumeration Date	:	12/02/2021
Last Update Date	:	06/03/2026

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Directions to “ JULISA MONICO ” Practice Location

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