Provider Demographics
NPI:1053554097
Name:GRIFFITH, JULIANNE MARIE (MS, BCBA)
Entity type:Individual
Prefix:MRS
First Name:JULIANNE
Middle Name:MARIE
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:MS, BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 W PARKWAY ST
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-9049
Mailing Address - Country:US
Mailing Address - Phone:817-689-6929
Mailing Address - Fax:940-808-0265
Practice Address - Street 1:607 W PARKWAY ST
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-9049
Practice Address - Country:US
Practice Address - Phone:817-689-6929
Practice Address - Fax:940-808-0265
Is Sole Proprietor?:No
Enumeration Date:2009-04-07
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1-08-4680103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst