Individual
CHRISTOPHER BLAKE BULMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
112 ADRIS PL, DOTHAN, AL 36303-1997
(334) 618-3302
Mailing address
112 ADRIS PL, DOTHAN, AL 36303-1997
(334) 618-3302
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB1042028
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BACB1042028
BACB1042028
AL
Enumeration date
03/07/2024
Last updated
03/07/2024
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