Mccullough, Kathleen
Mccullough, Kathleen is an individual health care provider with primary practice located at 2 Padre Pkwy Ste 101 , Rohnert Park CA 94928-2114. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Mccullough, Kathleen can be contacted via phone (707) 586-2692.Contact Information
Primary practice address
2 Padre Pkwy Ste 101
Rohnert Park CA 94928-2114
Phone: (707) 586-2692
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1659921419 |
|---|---|
| LBN Legal business name | Mccullough, Kathleen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2019 |
| Last updated | Sep 13th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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