Individual
JEFFREY MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 N MONROE ST STE 200, SPOKANE, WA 99201-2148
(509) 328-2740
Mailing address
3208 E 20TH AVE, SPOKANE, WA 99223-5402
(509) 951-5672
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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