Individual
AUSTIN STEVEN BULLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BT
Contact information
Practice address
5656 S POWER RD STE 121, GILBERT, AZ 85295-8489
(602) 610-4633
(602) 610-4633
Mailing address
3598 E AMARILLO WAY, SAN TAN VALLEY, AZ 85140-4320
(480) 399-5242
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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