Basic Information
| Provider Information | |||||||||
| NPI: | 1326403759 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SHARPLES | ||||||||
| FirstName: | JULIA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2037 NW BOBWHITE LN | ||||||||
| Address2: | APT 302 | ||||||||
| City: | SILVERDALE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 983838183 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3608240558 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3100 NW BUCKLIN HILL RD | ||||||||
| Address2: | SUITE 215 | ||||||||
| City: | SILVERDALE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 983838358 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3603372222 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/30/2015 | ||||||||
| LastUpdateDate: | 05/02/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103K00000X | 1093009193 | N | Behavioral Health & Social Service Providers | Behavioral Analyst | 106S00000X | Y |
No ID Information.