Provider Demographics
NPI:1316385255
Name:DALY, JULIA R (BCBA)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:R
Last Name:DALY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:R
Other - Last Name:SHEAFFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:113 MAHOGANY BAY DR
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHNS
Mailing Address - State:FL
Mailing Address - Zip Code:32259-6949
Mailing Address - Country:US
Mailing Address - Phone:904-305-2069
Mailing Address - Fax:904-342-1430
Practice Address - Street 1:113 MAHOGANY BAY DR
Practice Address - Street 2:
Practice Address - City:SAINT JOHNS
Practice Address - State:FL
Practice Address - Zip Code:32259-6949
Practice Address - Country:US
Practice Address - Phone:904-305-2069
Practice Address - Fax:904-342-1430
Is Sole Proprietor?:No
Enumeration Date:2013-06-13
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst