Provider Demographics
NPI:1629423231
Name:DEEB, JULEE VIRSHA
Entity type:Individual
Prefix:
First Name:JULEE
Middle Name:VIRSHA
Last Name:DEEB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JULEE
Other - Middle Name:VIRSHA
Other - Last Name:DEEB
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1411 DANBERRY ST
Mailing Address - Street 2:
Mailing Address - City:BURKBURNETT
Mailing Address - State:TX
Mailing Address - Zip Code:76354-3115
Mailing Address - Country:US
Mailing Address - Phone:888-880-9270
Mailing Address - Fax:
Practice Address - Street 1:1411 DANBERRY ST
Practice Address - Street 2:
Practice Address - City:BURKBURNETT
Practice Address - State:TX
Practice Address - Zip Code:76354-3115
Practice Address - Country:US
Practice Address - Phone:910-818-3234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-02
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2658103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst