MEDICARE: CARLEIGH NICOLE PULA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SZ13247	FL
2	106S00000X	Behavior Technician		FL

General Provider Information

NPI Number	:	1922762608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLEIGH NICOLE PULA

Provider Business Mailing Address
First Line	:	175 73RD AVE N APT 206
Second Line	:
City	:	SAINT PETERSBURG
State	:	FL
Zip	:	33702-5947
Country	:	US
Telephone Number	:	507-226-4109
Fax Number	:

Provider Business Practice Location Address
First Line	:	6924 W LINEBAUGH AVE
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33625-5800
Country	:	US
Telephone Number	:	507-226-4109
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2021
Last Update Date	:	04/20/2026

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Directions to “ CARLEIGH NICOLE PULA ” Practice Location

Language	Start Address	Practice Location

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