Julie A Bourgault
Behavior Technician in Warwick, RI. Individual provider (NPI-1).
NPI number1184211583
StatusActive
Last updated in NPPESDec 31, 2020
Details
- NPI
- 1184211583
- Entity type
- Individual (NPI-1)
- Name
- Julie A Bourgault
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 31, 2020
- Certification date
- Dec 31, 2020
- Last updated
- Dec 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
275 W Natick Rd Ste 400Warwick, RI 02886-1161
Phone 401-826-8875 · Fax 401-826-8926
Mailing address
275 W Natick Rd Ste 400Warwick, RI 02886-1161
Phone 401-826-8875 · Fax 401-826-8926
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