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NPI Code Detail

MEDICARE: JULIANN WEISSMAN

MEDICARE: JULIANN WEISSMAN
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
1106E00000XAssistant Behavior AnalystABA-AB-10249263OR
2103K00000XBehavior AnalystPSY-BA-LIC-5636MT
3103K00000XBehavior AnalystABA-B-10258892OR
4106S00000XBehavior Technician

General Provider Information

NPI Number : 1588381461
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIANN WEISSMAN
Provider Business Mailing Address
First Line : 4662 CARMAN DR
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-2530
Country : US
Telephone Number : 858-922-7291
Fax Number :
Provider Business Practice Location Address
First Line : 1091 STONERIDGE DR
Second Line :
City : BOZEMAN
State : MT
Zip : 59718-7042
Country : US
Telephone Number : 406-624-6599
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2022
Last Update Date : 09/18/2025

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Directions to “ JULIANN WEISSMAN ” Practice Location

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