Individual
KATIE MARIE TULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
1920 E RIVERSIDE DRIVE, STE A120 PMB369, AUSTIN, TX 78741
(512) 234-2245
(833) 523-2369
Mailing address
909 REINLI ST APT 215, AUSTIN, TX 78751-1510
(937) 508-7375
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
8790
TX
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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