Brittani R Cucullo
Behavior Technician in Highland, IN. Individual provider (NPI-1).
NPI number1912683079
StatusActive
Last updated in NPPESJun 23, 2023
Details
- NPI
- 1912683079
- Entity type
- Individual (NPI-1)
- Name
- Brittani R Cucullo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 23, 2023
- Certification date
- Jun 23, 2023
- Last updated
- Jun 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
3106 100th PlHighland, IN 46322-3315
Phone 708-935-4817
Mailing address
3106 100th PlHighland, IN 46322-3315
Phone 708-935-4817
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