Individual
ANNE STULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
5121 KINGDOM WAY STE 100, RALEIGH, NC 27607-6063
(919) 865-5077
(919) 882-8661
Mailing address
5121 KINGDOM WAY STE 100, RALEIGH, NC 27607-6063
(919) 865-5077
(919) 882-8661
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-08-4154
NC
103T00000X
Psychologist
Primary
3621
NC
Other
Enumeration date
04/01/2009
Last updated
05/07/2021
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