SearchVirginia235Z00000X

Deja Bulluck

NPI 1447934245 · on the registry since 2023 · sole proprietor

Practice

Address
1110 Herndon Pkwy Ste 205
Herndon, VA 20170
Phone
(571) 305-1906
Organisation at this address
Integrated Autism Behavior Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Additional practice sites

  • 6020 Stoddard Ct Apt 202, Alexandria, VA

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Sex
Female
Record last updated
2023-06-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia