Individual
ALEXIA GULLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9390 RESEARCH BLVD STE 100, AUSTIN, TX 78759-6585
(512) 330-9520
Mailing address
505 W UNIVERSITY AVE STE 105, GEORGETOWN, TX 78626-6643
(817) 516-9100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106S00000X
Behavior Technician
36025261
TX
Other
Enumeration date
10/30/2018
Last updated
03/14/2022
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