Healthcare Provider Details
I. General information
NPI: 1134005085
Provider Name (Legal Business Name): JULIANA REZENDE DE PAULA MA, RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/14/2025
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
45 NAPOLEON ST APT 1
NEWARK NJ
07105-3113
US
IV. Provider business mailing address
45 NAPOLEON ST APT 1
NEWARK NJ
07105-3113
US
V. Phone/Fax
- Phone: 862-381-6390
- Fax:
- Phone: 862-381-6390
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: