MEDICARE: MRS. CATRIONA CULLUM PH.D., BCBA

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	1-04-1778	TX

General Provider Information

NPI Number	:	1003118605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CATRIONA CULLUM PH.D., BCBA

Provider Business Mailing Address
First Line	:	603 PARK GROVE DR STE A
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77450-5589
Country	:	US
Telephone Number	:	713-353-0254
Fax Number	:	713-353-0253

Provider Business Practice Location Address
First Line	:	3730 KIRBY DRIVE
Second Line	:	SUITE 540
City	:	HOUSTON
State	:	TX
Zip	:	77098
Country	:	US
Telephone Number	:	832-868-8927
Fax Number	:	713-353-0253

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

Provider Enumeration Date	:	12/02/2010
Last Update Date	:	04/08/2026

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