MEDICARE: JULIE WEBB LMHC, 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
1	103K00000X	Behavior Analyst	1-17-26551	FL
2	101YM0800X	Mental Health Counselor	14390	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578017273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE WEBB LMHC, BCBA

Provider Business Mailing Address
First Line	:	2914 BENTWOOD LN
Second Line	:
City	:	FORT WALTON BEACH
State	:	FL
Zip	:	32547-6855
Country	:	US
Telephone Number	:	252-529-9259
Fax Number	:	855-445-0214

Provider Business Practice Location Address
First Line	:	124 E MIRACLE STRIP PKWY STE 503
Second Line	:
City	:	MARY ESTHER
State	:	FL
Zip	:	32569-1991
Country	:	US
Telephone Number	:	252-529-9259
Fax Number	:	855-445-0214

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

Provider Enumeration Date	:	08/10/2016
Last Update Date	:	01/29/2026

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