Provider Demographics
NPI:1780400788
Name:MUSCAT, JULIA
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:
Last Name:MUSCAT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-2258
Mailing Address - Country:US
Mailing Address - Phone:201-562-2620
Mailing Address - Fax:
Practice Address - Street 1:1970 SWARTHMORE AVE STE 4
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-4553
Practice Address - Country:US
Practice Address - Phone:888-403-5275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ15BC00021900103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst