Provider Demographics
NPI:1235566902
Name:PULLEN, COURTNEY DANYALE (MS, BCBA)
Entity Type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:DANYALE
Last Name:PULLEN
Suffix:
Gender:F
Credentials:MS, BCBA
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Mailing Address - Street 1:3620 N. JOSEY LANE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-3159
Mailing Address - Country:US
Mailing Address - Phone:469-892-7500
Mailing Address - Fax:469-575-3002
Practice Address - Street 1:3630 N JOSEY LN
Practice Address - Street 2:SUITE 100
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-3159
Practice Address - Country:US
Practice Address - Phone:469-892-7500
Practice Address - Fax:469-575-3002
Is Sole Proprietor?:No
Enumeration Date:2013-09-26
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst