Provider Demographics
NPI:1689554974
Name:SAMPAIO, JULIE VARGAS
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:VARGAS
Last Name:SAMPAIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21836 REFLECTION LN
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-2514
Mailing Address - Country:US
Mailing Address - Phone:781-535-1307
Mailing Address - Fax:
Practice Address - Street 1:7310 WEST PALMETTO PARK RD
Practice Address - Street 2:UNIT 100
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433
Practice Address - Country:US
Practice Address - Phone:954-248-1171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLBACB1318672106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician