Provider Demographics
NPI:1295096436
Name:HAYES, JULIE E (BCBA, MED)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:E
Last Name:HAYES
Suffix:
Gender:F
Credentials:BCBA, MED
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:E
Other - Last Name:LOMARTIRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:33 PERRY AVENUE
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703
Mailing Address - Country:US
Mailing Address - Phone:508-455-6200
Mailing Address - Fax:508-455-6211
Practice Address - Street 1:33 PERRY AVENUE
Practice Address - Street 2:
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703
Practice Address - Country:US
Practice Address - Phone:508-455-6200
Practice Address - Fax:508-455-6211
Is Sole Proprietor?:No
Enumeration Date:2012-06-05
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA204103K00000X
MA1073288103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral