Individual
KENNETH DAVID CULBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
177 MOUSE CREEK RD NW, CLEVELAND, TN 37312-3838
(423) 212-3663
(706) 780-1705
Mailing address
108 LOWER MILL CREEK RD, ROCKY FACE, GA 30740-3202
(618) 309-2681
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-79013
TN
103TB0200X
Cognitive & Behavioral Psychologist
—
FL
106S00000X
Behavior Technician
RBT-18-73414
FL
Other
Enumeration date
01/07/2019
Last updated
03/26/2025
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