Individual
AMANDA GULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1575 RIDENOUR PKWY NW APT 1107, KENNESAW, GA 30152-4538
(214) 545-7513
Mailing address
1575 RIDENOU PARKWAY, UNIT 1107, KENNESAW, GA 30152
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/03/2022
Last updated
01/03/2022
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