Provider Demographics
NPI:1851163638
Name:BUZDYGON, JULIA GRACE (RBT)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:GRACE
Last Name:BUZDYGON
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:
Other - Last Name:HUOT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RBT
Mailing Address - Street 1:1646 W CHESTER PIKE STE 4
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-7979
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1646 W CHESTER PIKE STE 4
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-7979
Practice Address - Country:US
Practice Address - Phone:610-850-0340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-25
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-23-270312106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician