Provider Demographics
NPI:1710554092
Name:HOLCOMBE, JULIE DREW (RBT)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:DREW
Last Name:HOLCOMBE
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:418 KILGRASS TER
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19311-1351
Mailing Address - Country:US
Mailing Address - Phone:302-562-9999
Mailing Address - Fax:
Practice Address - Street 1:46 MYSTERY ROSE LN
Practice Address - Street 2:
Practice Address - City:WEST GROVE
Practice Address - State:PA
Practice Address - Zip Code:19390-8812
Practice Address - Country:US
Practice Address - Phone:610-316-7307
Practice Address - Fax:610-436-1208
Is Sole Proprietor?:No
Enumeration Date:2021-06-07
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
RBT-17-39315OtherBEHAVIOR ANALYST CERTIFICATION BOARD