Most Relevant Information
Provider Data
| NPI Number: | 1003570847 |
| Provider Name: | KASEY ANNE MCCULLOUGH |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/27/2021 |
| Last Updated: | 10/27/2021 |
Provider Practice Location
2348 POST RD STE 107
WARWICK
RI
028862271
Practice Location Phone/Fax
| Phone: | 4016814637 |
| Fax: |
Provider Mailing Location
30 VETERANS MEMORIAL PKWY APT 202
EAST PROVIDENCE
RI
029145070
Provider Mailing Phone/Fax
| Phone: | 2032407241 |
| Fax: |