Timothy Ray Gullick, M.S., BCBA

NPI #1700183944 in Lacey, Washington

Provider Information

NPI Number: 1700183944
Entity Type: Individual
Name: Timothy Ray Gullick, M.S., BCBA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: M.S., BCBA
Enumeration Date: Feb 24, 2011
Last Updated: Aug 2, 2016

Practice Location

Address: 8282 28TH CT NE
Address 2: SUITE A
City: Lacey
State: Washington
ZIP Code: 98516-7162
Phone: (253) 569-0072

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Behavior Analyst	103K00000X	Primary

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