Provider Demographics
NPI:1215259403
Name:AIELLO, JULIE C (BCBA)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:C
Last Name:AIELLO
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 W MORSE AVE
Mailing Address - Street 2:APT. 410
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60626-5798
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1225 W MORSE AVE
Practice Address - Street 2:#410
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60626-5798
Practice Address - Country:US
Practice Address - Phone:773-609-4076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-16
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-09-6578103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst