Individual
ANNA MARIE MCCULLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
12726 HAMILTON CROSSING BLVD, CARMEL, IN 46032-5422
(314) 249-2242
(317) 249-2248
Mailing address
12726 HAMILTON CROSSING BLVD, CARMEL, IN 46032-5422
(314) 249-2242
(317) 249-2248
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18575
IN
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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