Individual
TRACEY MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, COBA
Contact information
Practice address
16560 COMMERCE CT STE A&B, MIDDLEBURG HEIGHTS, OH 44130-6305
(855) 295-3276
(888) 588-2752
Mailing address
1333 S MAYFLOWER AVE STE 220, MONROVIA, CA 91016-5239
(818) 241-6780
(888) 588-2752
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-44877
OH
Other
Enumeration date
01/31/2022
Last updated
12/07/2023
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