Healthcare Provider Details

I. General information

NPI: 1942873559
Provider Name (Legal Business Name): JULIA SCOTT CCC-SLP, BCBA, LBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2021
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 W BETHEL AVE
MUNCIE IN
47304-5408
US

IV. Provider business mailing address

3601 W BETHEL AVE
MUNCIE IN
47304-5408
US

V. Phone/Fax

Practice location:
  • Phone: 765-282-8222
  • Fax: 765-282-2820
Mailing address:
  • Phone: 765-282-8222
  • Fax: 765-282-2820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number46003937A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number95001839A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: