Individual
BEVERLY MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
411 PECAN TREE DR, MONTGOMERY, AL 36109-1823
(857) 829-4040
Mailing address
411 PECAN TREE DR, MONTGOMERY, AL 36109-1823
(334) 647-5710
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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