Individual
BOBBY MARTIN STULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1616 CORNWALL AVE STE 100, BELLINGHAM, WA 98225-4642
(360) 305-3275
(360) 734-5503
Mailing address
35 WINDWARD DR, BELLINGHAM, WA 98229-7948
(858) 345-0379
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
WA
Enumeration date
07/14/2017
Last updated
07/14/2017
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