MEDICARE: CARMELETTA R MCCULLOUGH MBA

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	:	1548508575
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARMELETTA R MCCULLOUGH MBA

Provider Business Mailing Address
First Line	:	4711 THOMPSON AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73105-7023
Country	:	US
Telephone Number	:	405-606-0303
Fax Number	:

Provider Business Practice Location Address
First Line	:	4711 THOMPSON AVE
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73105-7023
Country	:	US
Telephone Number	:	405-606-0303
Fax Number	:

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

Provider Enumeration Date	:	01/25/2013
Last Update Date	:	01/25/2013

Similar Medicare Providers

1063788982 — TERRY VANDERGRIFT
Practice Location Address:

5245 S I 35 SERVICE RD
OKLAHOMA CITY, OK
73129-7023

Practice Phone: 405-482-9726
Practice Fax:

1114887304 — HOPE ELIZABETH KIRBY
Practice Location Address:

1316 SW 14TH ST
OKLAHOMA CITY, OK
73108-7023

Practice Phone: 918-724-9256
Practice Fax:

1467430801 — COLUMBUS INPATIENT CARE INC.
Practice Location Address:

5300 N MEADOWS DR STE 7023
GROVE CITY, OH
43123-2546

Practice Phone: 937-509-5090
Practice Fax: 614-663-4940

1568489375 — RACHAEL STUBBS MD
Practice Location Address:

2981 JULIET WAY
SALT LAKE CITY, UT
84121-7023

Practice Phone: 801-860-2190
Practice Fax: 801-733-4866

1285991976 — ROHIT CHAND M.D
Practice Location Address:

5300 N MEADOWS DR STE 7023
GROVE CITY, OH
43123-2546

Practice Phone: 614-663-4242
Practice Fax:

1174866404 — DR. LUIZA BELLA BDOYAN MD
Practice Location Address:

5300 N. MEADOWS DR , STE 7023
GROVE CITY, OH
43123-2546

Practice Phone: 614-663-4242
Practice Fax: 614-663-4940

Directions to “ CARMELETTA R MCCULLOUGH MBA” 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.