Individual
ANTOINETTE MCCULLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13901 AMARGOSA RD, SUITE 2, VICTORVILLE, CA 92392-2409
(760) 512-1925
(626) 737-1095
Mailing address
PO BOX 291455, PHELAN, CA 92329-1455
(760) 780-7091
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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