Healthcare Provider Details

I. General information

NPI: 1760302871
Provider Name (Legal Business Name): JULIA MILOV
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2026
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 TURNER ST
LAKE PLEASANT MA
01347-9806
US

IV. Provider business mailing address

PO BOX 92
LAKE PLEASANT MA
01347-0092
US

V. Phone/Fax

Practice location:
  • Phone: 413-372-2722
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: