Individual
HUNTER KEITH MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1212 AUGUSTA WEST PKWY, AUGUSTA, GA 30909-1808
(706) 826-2770
Mailing address
1212 AUGUSTA WEST PKWY, AUGUSTA, GA 30909-1808
(706) 826-2770
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
12858
GA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/05/2020
Last updated
09/27/2022
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