Healthcare Provider Details

I. General information

NPI: 1346158938
Provider Name (Legal Business Name): RORY CULP
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

629 STATE ST STE 249
SANTA BARBARA CA
93101-7072
US

IV. Provider business mailing address

3260 RANCHO VIEJO
ATASCADERO CA
93422-1567
US

V. Phone/Fax

Practice location:
  • Phone: 805-399-2472
  • Fax:
Mailing address:
  • Phone: 805-538-4450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: