Provider Demographics
NPI:1558189183
Name:OCEJO, JULIA (RBT)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:OCEJO
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12635 POINT CYN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-5492
Mailing Address - Country:US
Mailing Address - Phone:210-919-0523
Mailing Address - Fax:210-761-7362
Practice Address - Street 1:12635 POINT CYN
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-5492
Practice Address - Country:US
Practice Address - Phone:210-919-0523
Practice Address - Fax:210-761-7362
Is Sole Proprietor?:No
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-24-382548106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician