MEDICARE: JULIE HOFFMAN

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
1	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1366092868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE HOFFMAN

Provider Business Mailing Address
First Line	:	3471 E GRAND RIVER AVE
Second Line	:
City	:	HOWELL
State	:	MI
Zip	:	48843-8552
Country	:	US
Telephone Number	:	734-899-7250
Fax Number	:

Provider Business Practice Location Address
First Line	:	3471 E GRAND RIVER AVE
Second Line	:
City	:	HOWELL
State	:	MI
Zip	:	48843-8552
Country	:	US
Telephone Number	:	734-899-7250
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2019
Last Update Date	:	05/13/2024

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Directions to “ JULIE HOFFMAN ” Practice Location

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