Individual
ALLEN MCCULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
12650 N BEACH ST STE 146, FORT WORTH, TX 76244-4253
(682) 238-1872
Mailing address
12650 N BEACH ST STE 146, FORT WORTH, TX 76244-4253
(682) 238-1872
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-304947
TX
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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