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NPI Code Detail

MEDICARE: JULIE A DORRIS

MEDICARE: JULIE A DORRIS
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1316889330
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE A DORRIS
Provider Business Mailing Address
First Line : 1226 INDEPENDENCE AVE
Second Line :
City : KENNETT
State : MO
Zip : 63857-1316
Country : US
Telephone Number : 573-559-2380
Fax Number :
Provider Business Practice Location Address
First Line : 1226 INDEPENDENCE AVE
Second Line :
City : KENNETT
State : MO
Zip : 63857-1316
Country : US
Telephone Number : 573-559-2380
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/08/2026

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Directions to “ JULIE A DORRIS ” Practice Location

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