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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JULIE LAUREN SODERBERG, BCABA

Active

JULIE LAUREN SODERBERG, BCABA is a Behavior Analyst healthcare provider located in BLOOMINGTON, Illinois. NPI 1629380225 is currently active in the NPPES registry. Verify at CMS.

Behavior Analyst · BLOOMINGTON, IL

Registration Details

NPI Number
1629380225
Provider Type
Individual
Gender
Female
NPI Issued
Jul 12, 2010 (16.055917560134 yrs)
Last Updated
Jul 12, 2010
License
0-10-3827 (IL)

Practice Information

Address
2416 E WASHINGTON ST
SUITE G
BLOOMINGTON, IL, 617044472
Browse IL providers · Browse ZIP 61704
Phone
3096625050
Fax
6303039704
Primary Specialty
Behavior Analyst
103K00000X

Other Behavior Analyst Providers in BLOOMINGTON, IL

Name Credential NPI
MRS. KIMBERLY ANN WILLIAMSON BCBA 1801067400
JENNIFER RENEE SULLIVAN 1902049653
DR. LERA JOYCE JOHNSON BCBA-D, BAMC 1215282124
EDWARD L MCCRACKEN M.ED. 1114426723
MS. MACKENZIE LAESCH BCBA 1508363649
HALLIE M JOHNSON BCBA 1386129864
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.