Provider Demographics
NPI:1669427928
Name:SCHAFFER, JULIANA (BCBA)
Entity type:Individual
Prefix:MS
First Name:JULIANA
Middle Name:
Last Name:SCHAFFER
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 1:6621 SW 64TH ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-3237
Mailing Address - Country:US
Mailing Address - Phone:305-302-5840
Mailing Address - Fax:
Practice Address - Street 1:6621 SW 64TH ST
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-3237
Practice Address - Country:US
Practice Address - Phone:305-302-5840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL688833096Medicaid
FL688833098Medicaid