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NPI Code Detail

MEDICARE: JULIE COVINGTON

MEDICARE: JULIE COVINGTON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer SpecialistID
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1245109743
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE COVINGTON
Provider Business Mailing Address
First Line : 2959 S MERIDIAN RD
Second Line :
City : MERIDIAN
State : ID
Zip : 83642-7961
Country : US
Telephone Number : 208-871-2102
Fax Number :
Provider Business Practice Location Address
First Line : 2959 S MERIDIAN RD
Second Line :
City : MERIDIAN
State : ID
Zip : 83642-7961
Country : US
Telephone Number : 208-871-2102
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2025
Last Update Date : 01/12/2026

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Directions to “ JULIE COVINGTON ” Practice Location

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