Provider Demographics
NPI:1124241906
Name:ASHMUN, JULIA (MED, BCBA)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:ASHMUN
Suffix:
Gender:F
Credentials:MED, BCBA
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:ASHMUN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MED, BCBA
Mailing Address - Street 1:4451 1ST AVE NW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-4307
Mailing Address - Country:US
Mailing Address - Phone:206-595-3254
Mailing Address - Fax:206-297-1567
Practice Address - Street 1:4451 1ST AVE NW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-4307
Practice Address - Country:US
Practice Address - Phone:206-595-3254
Practice Address - Fax:206-297-1567
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
01-02-0872174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist