Individual
PALLIE REED GULLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3499 BLAZER PKWY STE 170, LEXINGTON, KY 40509-2823
(859) 224-2273
(859) 224-4675
Mailing address
109 WIND HAVEN DR STE 100, NICHOLASVILLE, KY 40356-8010
(859) 224-2273
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
293819
KY
Other
Enumeration date
12/30/2021
Last updated
07/24/2024
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