Provider Demographics
NPI:1871999607
Name:SWAIN, JULIE (MED, BCBA)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:SWAIN
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 MERI LN
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-5182
Mailing Address - Country:US
Mailing Address - Phone:845-325-3798
Mailing Address - Fax:
Practice Address - Street 1:12 WINSTON PL
Practice Address - Street 2:
Practice Address - City:MARLBORO
Practice Address - State:NY
Practice Address - Zip Code:12542-5967
Practice Address - Country:US
Practice Address - Phone:845-863-5208
Practice Address - Fax:845-395-9296
Is Sole Proprietor?:No
Enumeration Date:2014-11-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No174400000XOther Service ProvidersSpecialist