Individual
DAVID JOSEPH GULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6419 W 87TH ST, OAK LAWN, IL 60453-1048
(708) 634-0821
Mailing address
10526 S HOYNE AVE, CHICAGO, IL 60643-2518
(773) 963-9119
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
G400-1709-8110
IL
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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