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NPI Code Detail

MEDICARE: JULIE RILEY M.ED

MEDICARE:   JULIE  RILEY  M.ED
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
1103K00000XBehavior AnalystL-184LA

General Provider Information

NPI Number : 1396236766
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE RILEY M.ED
Provider Business Mailing Address
First Line : PO BOX 919175
Second Line :
City : DALLAS
State : TX
Zip : 75391-9175
Country : US
Telephone Number : 504-556-3460
Fax Number :
Provider Business Practice Location Address
First Line : 411 S PRIEUR ST FL 4
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70112-2239
Country : US
Telephone Number : 504-556-7511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2018
Last Update Date : 05/22/2018

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