Individual
JULIE KELSEY WITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., M.ED., BCBA
Contact information
Practice address
19658 WEBB RD, LAPWAI, ID 83540-6146
(208) 691-6910
Mailing address
19658 WEBB RD, LAPWAI, ID 83540-6146
(208) 691-6910
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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