MEDICARE: JANE TYRESHA MCCOLLUL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1497696066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE TYRESHA MCCOLLUL

Provider Business Mailing Address
First Line	:	4024 COCO AVE APT 15
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90008-2241
Country	:	US
Telephone Number	:	818-770-9453
Fax Number	:

Provider Business Practice Location Address
First Line	:	4024 COCO AVE APT 15
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90008-2241
Country	:	US
Telephone Number	:	818-770-9453
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

Similar Medicare Providers

1518988344 — JOY BYUNGWOOK KIM MD
Practice Location Address:

8700 BEVERLY BLVD , 2241 NT PLAZA LEVEL
LOS ANGELES, CA
90048

Practice Phone: 310-423-2059
Practice Fax:

1639241631 — DR. LESLIE B. ROSEN PH.D.
Practice Location Address:

2241 CANYONBACK RD
LOS ANGELES, CA
90049-1178

Practice Phone: 310-753-1908
Practice Fax: 310-471-9975

1871661223 — AMY BETH ROBBINS CFNP
Practice Location Address:

3921 W SUNSET BLVD FL 2
LOS ANGELES, CA
90029-2241

Practice Phone: 213-669-2078
Practice Fax:

1033436704 — DR. EMMA JANE HISCOCKS MD
Practice Location Address:

3921 W SUNSET BLVD FL 2
LOS ANGELES, CA
90029-2241

Practice Phone: 646-650-5337
Practice Fax:

1154671493 — SARAH STETINA CNM, APRN-FPA
Practice Location Address:

3921 W SUNSET BLVD FL 2
LOS ANGELES, CA
90029-2241

Practice Phone: 646-650-5337
Practice Fax: 646-871-6820

1134560915 — NICOLE HUNT CNM
Practice Location Address:

3921 W SUNSET BLVD FL 2
LOS ANGELES, CA
90029-2241

Practice Phone: 213-669-2078
Practice Fax:

Directions to “ JANE TYRESHA MCCOLLUL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.