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NPI Code Detail

MEDICARE: MS. JUDITH KRISTYN BARRETT MA, BCBA, LBA

MEDICARE: MS. JUDITH KRISTYN BARRETT MA, BCBA, LBA
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 Analyst01-20-45547VA
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1801499546
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JUDITH KRISTYN BARRETT MA, BCBA, LBA
Provider Business Mailing Address
First Line : 4365 STARKEY RD
Second Line :
City : ROANOKE
State : VA
Zip : 24018-0610
Country : US
Telephone Number : 540-527-5068
Fax Number : 540-527-5093
Provider Business Practice Location Address
First Line : 4365 STARKEY RD
Second Line :
City : ROANOKE
State : VA
Zip : 24018-0610
Country : US
Telephone Number : 540-527-5068
Fax Number : 540-527-5093
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2020
Last Update Date : 07/30/2025

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