Provider Demographics
NPI:1124198494
Name:KNAPP, JULIE A (PHD, BCBA-D,COBA)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:A
Last Name:KNAPP
Suffix:
Gender:F
Credentials:PHD, BCBA-D,COBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1051 TIFFANY SOUTH
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44514-1977
Mailing Address - Country:US
Mailing Address - Phone:330-629-2955
Mailing Address - Fax:330-629-2956
Practice Address - Street 1:1051 TIFFANY SOUTH
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44514-1977
Practice Address - Country:US
Practice Address - Phone:330-629-2955
Practice Address - Fax:330-629-2956
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6273103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHCL3601801Medicaid
OH2772825Medicaid
OH3601801Medicaid