Individual
MEGHAN TULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5128 30TH AVE APT 5D, WOODSIDE, NY 11377-7937
(832) 867-5284
Mailing address
5128 30TH AVE APT 5D, WOODSIDE, NY 11377
(832) 867-5284
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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