Provider Demographics
NPI:1467887794
Name:CUPERTINO, JULIE (BCBA)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:
Last Name:CUPERTINO
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:MS
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:LABARBERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30 HOMEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10701-5227
Mailing Address - Country:US
Mailing Address - Phone:914-230-9075
Mailing Address - Fax:
Practice Address - Street 1:30 HOMEWOOD AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701-5227
Practice Address - Country:US
Practice Address - Phone:914-230-9075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-05
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No174H00000XOther Service ProvidersHealth Educator