Samella Jane Mccullough
NPI #1497455323 in Chickamauga, Georgia
Provider Information
- NPI Number
- 1497455323
- Entity Type
- Individual
- Name
- Samella Jane Mccullough
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Mar 8, 2023
- Last Updated
- Mar 8, 2023
Practice Location
- Address
- 169 PONDEROSA DR
- City
- Chickamauga
- State
- Georgia
- ZIP Code
- 30707-2677
- Phone
- (423) 432-4548
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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