Individual
ANAYA BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7608 NARROW PASS ST, LIVE OAK, TX 78233-3019
(210) 714-3545
Mailing address
301 CONVERSE CENTER ST APT 322, CONVERSE, TX 78109-1380
(210) 392-5667
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TX
Other
Enumeration date
09/22/2025
Last updated
10/24/2025
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