Healthcare Provider Details

I. General information

NPI: 1285478511
Provider Name (Legal Business Name): JULIA FAYE BEHR MPAS, PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2024
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1907 W SYCAMORE ST STE 200
KOKOMO IN
46901-5148
US

IV. Provider business mailing address

1907 W SYCAMORE ST STE 200
KOKOMO IN
46901-5148
US

V. Phone/Fax

Practice location:
  • Phone: 765-236-8170
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number10004489A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: