Provider Demographics
NPI:1275895740
Name:ROTONDI, JULIE (LBA, BCBA, MS ED)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:ROTONDI
Suffix:
Gender:F
Credentials:LBA, BCBA, MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:252 7TH AVE APT 11M
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-7343
Mailing Address - Country:US
Mailing Address - Phone:617-792-2744
Mailing Address - Fax:
Practice Address - Street 1:252 7TH AVE APT 11M
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-7343
Practice Address - Country:US
Practice Address - Phone:617-792-2744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-11
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
NY002620103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No174400000XOther Service ProvidersSpecialist