Individual
MR. ADAM DAITCH BULBULIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.C.B.A.
Contact information
Practice address
282 GARDENS AVE, UKIAH, CA 95482-5305
(707) 467-1426
Mailing address
282 GARDENS AVE, UKIAH, CA 95482-5305
(707) 467-1426
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8681
CA
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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