Timothy Ray Gullick, MS, BCBA is a
Behavior Analyst based in Lacey, Washington. Timothy Ray Gullick is licensed to practice in * (Not Available) (license number 1-10-7243) and his current practice location is
8282 28th Ct Ne, Suite A, Lacey, Washington. He can be reached at his office (for appointments etc.) via phone at
(253) 569-0072.
NPI number for Timothy Ray Gullick is 1700183944 and his current mailing address is Po Box 1091, Buckley, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700183944.
Healthcare Provider's Profile
| Full Name | Timothy Ray Gullick |
|---|
| Gender | Male |
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| Speciality | Behavior Analyst |
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| Location | 8282 28th Ct Ne, Lacey, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700183944
- Provider Enumeration Date: 02/24/2011
- Last Update Date: 08/02/2016
Medical Identifiers
Medical identifiers for Timothy Ray Gullick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700183944 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | CG 60190232 (Washington) | Secondary |
| 103K00000X | Behavior Analyst | 1-10-7243 (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Timothy Ray Gullick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Timothy Ray Gullick, MS, BCBA
Po Box 1091,
Buckley, WA 98321-1091
Ph: (253) 569-0072 | Timothy Ray Gullick, MS, BCBA
8282 28th Ct Ne, Suite A,
Lacey, WA 98516-7162
Ph: (253) 569-0072 |
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