Healthcare Provider Details

I. General information

NPI: 1730843129
Provider Name (Legal Business Name): JUNE JAMES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JUNE RUSCAK

II. Dates (important events)

Enumeration Date: 10/22/2021
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10214 ATKINS RIDGE DR
CHARLOTTE NC
28213-4290
US

IV. Provider business mailing address

10214 ATKINS RIDGE DR
CHARLOTTE NC
28213-4290
US

V. Phone/Fax

Practice location:
  • Phone: 978-808-4658
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: