Individual
WILLIE JAMES MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1901 N CLASSEN BLVD, STE 110, OKLAHOMA CITY, OK 73106-6015
(405) 606-4441
Mailing address
1901 N CLASSEN BLVD, STE 110, OKLAHOMA CITY, OK 73106-6015
(405) 606-4441
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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