Individual
ANNAH MARIA GULLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1345 COMPANION CT, SUMTER, SC 29150-1749
(803) 905-5107
Mailing address
1321 MURFREESBORO PIKE STE 410, NASHVILLE, TN 37217-2665
(615) 695-2277
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-63734
SC
106S00000X
Behavior Technician
RBT-19-81335
SC
Other
Enumeration date
03/18/2019
Last updated
03/23/2023
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