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Individual
DR. LISA TULLO
Active
Individual
DR. LISA TULLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA-D
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0133000840
VA
103K00000X
Behavior Analyst
Primary
1-10-7656
—
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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