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NPI Code Detail

MEDICARE: JULIE ANN BUTTERWORTH MCD, CCC-SLP, BCBA

MEDICARE: JULIE ANN BUTTERWORTH MCD, CCC-SLP, BCBA
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
1174400000XSpecialistSP1326AR
2103K00000XBehavior Analyst1-11-8242AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15U276OTHERARBLUECROSS PROVIDER #
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245274562
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE ANN BUTTERWORTH MCD, CCC-SLP, BCBA
Provider Business Mailing Address
First Line : 2808 FOX MEADOW LANE
Second Line :
City : JONESBORO
State : AR
Zip : 72404-9346
Country : US
Telephone Number : 870-335-2240
Fax Number : 870-931-4457
Provider Business Practice Location Address
First Line : 2808 FOX MEADOW LANE
Second Line :
City : JONESBORO
State : AR
Zip : 72404-9346
Country : US
Telephone Number : 870-335-2240
Fax Number : 870-931-4457
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 02/09/2024

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Directions to “ JULIE ANN BUTTERWORTH MCD, CCC-SLP, BCBA” Practice Location

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