Individual
MS. JULIA KRISTINA DIBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
58 FOLLY ROAD BLVD, SUITE 200, CHARLESTON, SC 29407-7582
(888) 547-2250
Mailing address
PO BOX 1092, APOPKA, FL 32704-1092
(888) 547-2250
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-21159
MD
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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