STEPHANIE MCCULLOUGH (NPI# 1154817617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154817617 |
| Entity Type | Individual |
| Full Name | STEPHANIE MCCULLOUGH |
| Practice Address |
8500 Washington St Ne Ste A1 Albuquerque NM 87113-1861 |
| Practice Telephone | 5058283837 |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417170812 | Stephanie Ann Mccullough | Speech-Language Pathologist | 302 Lawnview Way, Greensburg, PA 15601-7727 | 2007-04-11 |
| 1942562384 | Stephanie Eve Owen Mccullough | Family Medicine | 895 Union St Ste 12, Bangor, ME 04401 | 2012-06-12 |
| 1144509183 | Stephanie L Mccullough | Physician Assistant | 3003 W Good Hope Rd, Milwaukee, WI 53209-2042 | 2011-08-09 |
| Street Address |
8500 WASHINGTON ST NE STE A1 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87113-1861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295069839 | Mary Elizabeth Klotz | Psychologist | 8500 Washington St Ne Ste A1, Albuquerque, NM 87108 | 2009-09-30 |
| 1841890134 | Melanie Conway | Behavior Technician | 8500 Washington St Ne Ste A1, Albuquerque, NM 87113-1861 | 2020-10-27 |
| 1669072955 | Addyson Whatley | Behavior Technician | 8500 Washington St Ne Ste A1, Albuquerque, NM 87113-1861 | 2020-10-27 |
| 1225637358 | Carolyn Daniel | Behavior Technician | 8500 Washington St Ne Ste A1, Albuquerque, NM 87113-1861 | 2020-10-20 |
| 1639786023 | Jamie Stepetic | Behavior Technician | 8500 Washington St Ne Ste A1, Albuquerque, NM 87113-1861 | 2020-09-29 |
| 1417564469 | Leeann Mauldin | Behavior Technician | 8500 Washington St Ne Ste A1, Albuquerque, NM 87113-1861 | 2020-09-24 |
| 1548874225 | Katherine Kelley | Behavior Technician | 8500 Washington St Ne Ste A1, Albuquerque, NM 87113-1861 | 2020-09-01 |
| 1629682315 | Florence Mceachren Garcia | Behavior Technician | 8500 Washington St Ne Ste A1, Albuquerque, NM 87113-1861 | 2020-09-01 |
| 1972115327 | Dillion Bowman | Behavior Technician | 8500 Washington St Ne Ste A1, Albuquerque, NM 87113-1861 | 2020-08-18 |
| 1467062778 | Jin Hee Oh | Behavior Technician | 8500 Washington St Ne Ste A1, Albuquerque, NM 87113-1861 | 2020-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952944613 | Wendy Valenciano Flores | Behavior Technician | 9019 Washington St Ne Building A, Albuquerque, NM 87113 | 2019-10-24 |
| 1336608504 | Southwestern Provider Services LLC | Registered Nurse | 6400 Paseo Del Norte, Albuquerque, NM 87113 | 2019-03-18 |
| 1376047795 | Anne K. Hempstead D.d.s., P.C. | Dentist | 6400 Holly Ave Ne Ste M, Albuquerque, NM 87113 | 2018-03-20 |
| 1447769518 | Ethan Grant | Behavior Technician | 8500 Washington St Ste A1, Albuquerque, NM 87113 | 2017-09-21 |
| 1215451083 | Sarah Bartlett | Behavior Technician | 8500 Washington St, Ste A1, Albuquerque, NM 87113 | 2017-08-02 |
| 1396109906 | Cathy A Walters | Specialist/Technologist | 532 Osuna Rd Ne, Albuquerque, NM 87113 | 2016-04-09 |
| 1518389824 | Esther Sanchez | Home Health Aide | 6800 Vista Del Norte Drive, 2814, Albuqerque, NM 87113 | 2014-01-07 |
| 1356775456 | Danielle Juliet Fichera | Social Worker | 315 Alameda Park Dr, Ne, Albuquerque, NM 87113 | 2013-08-26 |
| 1093053340 | Eagle Pointe Dentists and Orthodontics, LLC | Dentist | 6230 Paseo Del Norte Ne, Suite B, Albuquerque, NM 87113 | 2013-01-22 |
| 1922346428 | Keith Levitt | Anesthesiology | 8100 Wyoming Blvd Ne #712, Suite M4, Albuquerque, NM 87113 | 2013-01-18 |
| Find all providers in zip 87113 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538343 | Victoria Lopez | Behavior Technician | 1015 Pinatubo Pl Nw, Albuquerque, NM 87120-2974 | 2020-11-04 |
| 1598366080 | Maya Mascarenas | Behavior Technician | 516 Madeira Dr Se Apt 3, Albuquerque, NM 87108-2971 | 2020-11-03 |
| 1831790419 | Alisa Maria Salazar | Behavior Technician | 9610 Arvada Ave Ne, Albuquerque, NM 87112-2912 | 2020-11-02 |
| 1548861065 | Darren Anzures | Behavior Technician | 10004 Benavides Rd Sw, Albuquerque, NM 87121-8126 | 2020-11-02 |
| 1316546286 | Julia Oliver | Behavior Technician | 7717 William Moyers Ave Ne, Albuquerque, NM 87122-2782 | 2020-10-22 |
| 1932708898 | Ann Marie Jean Doolittle Straight | Behavior Technician | 5013 Edwards Dr Ne, Albuquerque, NM 87111-6908 | 2020-10-21 |
| 1114526175 | Alicia Pearl Armijo I | Behavior Technician | 1509 Tierra Verde Pl Sw, Albuquerque, NM 87105-1510 | 2020-10-21 |
| 1285233684 | Michaela Sedillo | Behavior Technician | 1908 Utah St Ne, Albuquerque, NM 87110-4844 | 2020-10-19 |
| 1912506130 | Selena Luisa Wolfel | Behavior Technician | 231 Smith Ave Se, Albuquerque, NM 87102-4754 | 2020-10-19 |
| 1609474105 | Barbara D Mares | Behavior Technician | 5615 Bohemia Ct Sw, Albuquerque, NM 87105-3307 | 2020-10-15 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87113 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.