Zackary Lee McCullock

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

8417 Sandpiper Rd
Oklahoma City, OK 73132-4921

Phone

(405) 408-4589

NPI assigned

Oct 19, 2012

Last updated

Oct 19, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1598018129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8417 SANDPIPER ROAD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73132",
            "telephone_number": "405-408-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8417 SANDPIPER RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731324921",
            "telephone_number": "405-408-4589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOCK",
        "first_name": "ZACKARY",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey McCreary, MD
• John Brett McCuan, BS
• Skylar Lynne McCullar
• Vicki Michelle McCulloch, ARNP
• Debra Ann McCullock, ARNP
• Carmeletta R McCullough, MBA
• Casey Ryan McCullough, PHARMD
• Kiara Janay McCullough
• Mona McCullough, PH.D.
• Stela Veskova McCullough

• Behavior Analyst in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Behavior Analyst in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.