Healthcare Provider Details

I. General information

NPI: 1851163638
Provider Name (Legal Business Name): JULIA GRACE BUZDYGON BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JULIA HUOT

II. Dates (important events)

Enumeration Date: 10/25/2023
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1646 W CHESTER PIKE STE 4
WEST CHESTER PA
19382-7979
US

IV. Provider business mailing address

1646 W CHESTER PIKE STE 4
WEST CHESTER PA
19382-7979
US

V. Phone/Fax

Practice location:
  • Phone: 610-850-0340
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-90204
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: