Active NPI
Cynthia Lynn McCullough, M.A., BCBA
- Behavior Analyst
- Roseville, CA
National Provider Identifier
1326339060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 730 Sunrise Ave
Roseville, CA 95661-4567 - Phone
- (408) 596-0607
- NPI assigned
- Apr 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
730 Sunrise Ave
Roseville, CA 95661-4567
Mailing address
324 Quiet Star CT
Roseville, CA 95747-7123
Phone (408) 596-0607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Get Social Therapy | Behavior Analyst | Current | Accepting new patients |
Locations
3101 Sunset Blvd
Ste 1A
Rocklin, CA 95677
Phone (916) 315-8696
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Rocklin, CA
- NPI 1417485202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305676800000",
"number": "1326339060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 QUIET STAR CT",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "957477123",
"telephone_number": "408-596-0607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 SUNRISE AVE",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956614567",
"telephone_number": "408-596-0607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCULLOUGH",
"first_name": "CYNTHIA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "M.A., BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-28",
"last_updated": "2011-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.