Individual
MS. LAUREN ASHLEY MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
293 INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23462-5466
(757) 490-3009
(877) 799-3228
Mailing address
293 INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23462-5466
(757) 490-3009
(877) 799-3228
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB712925
VA
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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