Gullick, Timothy Ray

Gullick, Timothy Ray is an sole proprietor health care provider with primary practice located at 8282 28Th Ct Ne Suite A, Lacey WA 98516-7162. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is his primary health care specialty. Gullick, Timothy Ray can be contacted via phone (253) 569-0072.

Contact Information

Primary practice address
8282 28Th Ct Ne Suite A Lacey WA 98516-7162
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X CG 60190232 Washington
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-10-7243

Profile Details

NPI number 1700183944
LBN Legal business name Gullick, Timothy Ray
Credentials M.S., BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2011
Last updated Aug 2nd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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