Individual
CAROLYN TULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4720 PEACHTREE INDUSTRIAL BLVD STE 301, BERKELEY LAKE, GA 30071-5736
(770) 674-4106
Mailing address
200 COLONIAL HOMES DR NW APT 806, 806, ATLANTA, GA 30309-1272
(404) 271-1846
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
01-07-3700
—
Other
Enumeration date
10/03/2016
Last updated
11/15/2023
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