Julie A Bourgault

NPI #1184211583 in Warwick, Rhode Island

Provider Information

NPI Number: 1184211583
Entity Type: Individual
Name: Julie A Bourgault
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 31, 2020
Last Updated: Dec 31, 2020

Practice Location

Address: 275 W NATICK RD STE 400
City: Warwick
State: Rhode Island
ZIP Code: 02886-1161
Phone: (401) 826-8875

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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