Gully, Antonette

Gully, Antonette is an individual health care provider with primary practice located at 1212 S Air Depot Blvd Ste 17 , Midwest City OK 73110-4860. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Gully, Antonette can be contacted via phone (405) 455-6868.

Contact Information

Primary practice address
1212 S Air Depot Blvd Ste 17 Midwest City OK 73110-4860
Phone: (405) 455-6868
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT20112635 Oklahoma

Profile Details

NPI number 1396378758
LBN Legal business name Gully, Antonette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2020
Last updated Feb 13th, 2020 - about 6 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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