AMANDA MCCULLOUGH NPI 1174133979

NPI Information

  • NPI: 1174133979
  • Provider Name: AMANDA MCCULLOUGH
  • Classification: Day Training/Habilitation Specialist - 373H00000X
  • Entity Type: Individual
  • Address: 120 NIX RIDGE RD
    ASH FLAT, AR
    ZIP 72513
  • Phone: (870) 994-3103

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NPI Details

Amanda Mccullough is a day training habilitation specialist in Ash Flat, AR. The provider is individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. Amanda Mccullough NPI is 1174133979. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

120 NIX RIDGE RD
ASH FLAT, AR
ZIP 72513-017
Phone: (870) 994-3103
Fax: (870) 994-3108

The enumeration date for this NPI number is 8/6/2020 and was last updated on 8/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1373H00000XDay Training/Habilitation SpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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