Mccullough, Amanda Jo

Mccullough, Amanda Jo is an individual health care provider with primary practice located at 4001 Westerly Pl Suite 110, Newport Beach CA 92660-2315. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Mccullough, Amanda Jo can be contacted via phone (949) 756-8799.

Contact Information

Primary practice address
4001 Westerly Pl Suite 110 Newport Beach CA 92660-2315
Phone: (949) 756-8799
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1285941468
LBN Legal business name Mccullough, Amanda Jo
Credentials M.S., B.C.B.A.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2010
Last updated Nov 21st, 2016 - about 10 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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