NPI 1174133979
Amanda McCullough
Practice location
- Address
- 120 Nix Ridge Rd, Ash Flat, AR 72513-9017
- Phone
- (870) 994-3103
- Fax
- (870) 994-3108
Registered specialties
Day Training/Habilitation Specialist
Primary
Registry record
- NPI
- 1174133979
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Aug 2020
- Record last updated
- 6 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.