Individual
ANTONETTE GULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
3635 NW 39TH EXPRESSWAY, OKLAHOMA CITY, OK 73112-6309
(405) 857-8280
Mailing address
3635 NW 39TH EXPRESSWAY, OKLAHOMA CITY, OK 73112-6309
(405) 857-8280
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-78685
OK
106S00000X
Behavior Technician
Primary
RBT20112635
OK
Other
Enumeration date
02/13/2020
Last updated
01/26/2026
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