Provider Demographics
NPI:1083585301
Name:AVILA, JULIE MARIE (BA, SECONDARY SPANIS)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:MARIE
Last Name:AVILA
Suffix:
Gender:F
Credentials:BA, SECONDARY SPANIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 HIGHWAY 190 APT 1823
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70448-3488
Mailing Address - Country:US
Mailing Address - Phone:888-890-9270
Mailing Address - Fax:
Practice Address - Street 1:1901 HIGHWAY 190 APT 1823
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70448-3488
Practice Address - Country:US
Practice Address - Phone:888-890-9270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty