Individual
HEATHER HULLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3766 US HIGHWAY 17 STE 301, RICHMOND HILL, GA 31324-8876
(912) 756-0656
(904) 538-0714
Mailing address
10175 FORTUNE PKWY, SUITE 903, JACKSONVILLE, FL 32256-6746
(904) 538-0713
(904) 538-0714
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-31775
GA
Other
Enumeration date
03/31/2016
Last updated
02/12/2020
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