Provider Demographics
NPI:1811123110
Name:FLYNN, JULIE PIPER (BCBA)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:PIPER
Last Name:FLYNN
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12501 HAYES CT
Mailing Address - Street 2:403
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-6002
Mailing Address - Country:US
Mailing Address - Phone:703-203-8387
Mailing Address - Fax:
Practice Address - Street 1:12501 HAYES CT
Practice Address - Street 2:403
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-6002
Practice Address - Country:US
Practice Address - Phone:703-203-8387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-02
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1084468103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst