Individual
DUSTIN JAMES KULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
3482 MCCLURE AVE, WEST LAFAYETTE, IN 47906-4164
(765) 838-3547
Mailing address
2918 HORIZON DR APT 2, WEST LAFAYETTE, IN 47906-6611
(765) 607-0045
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59439
IN
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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