Individual
JULIA MADISON CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
490 MEDALLION CIR, CLARKSVILLE, TN 37042-1682
(731) 420-1323
Mailing address
490 MEDALLION CIR, CLARKSVILLE, TN 37042-1682
(731) 420-1323
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-000782
AZ
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
RBT-18-51288
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-21-50536
BCBA CERTIFICATE
—
01
—
RBT-18-51288
REGISTERED BEHAVIOR TECHNICIAN
AZ
Enumeration date
03/05/2018
Last updated
10/24/2025
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