Individual
COURTNEY MCCULLARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QASP
Contact information
Practice address
10175 FORTUNE PKWY, SUITE 903, JACKSONVILLE, FL 32256-6746
(904) 538-0713
(904) 538-0714
Mailing address
508 N MAIN ST, SUITE D, HINESVILLE, GA 31313-2534
(904) 538-0713
(904) 538-0714
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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