Nicole Realle Mccullough - Portland, OR

Nicole Realle Mccullough

Mental Health Counselor in Portland, Oregon

NPI 1457852725

Nicole Realle Mccullough is a Mental Health Counselor based in Hillsboro, OR and is specialized in Mental Health. Nicole Realle Mccullough practices in Portland, OR. The NPI Number for Nicole Realle Mccullough is 1457852725 and holds a License No. (Oregon).

The current practice location address for Nicole Realle Mccullough is 1411 Sw Morrison St Ste 310, Portland, OR and can be reached out via phone at 503-799-4114.

Location: 1411 Sw Morrison St Ste 310, Portland, OR, 97123-9439

NPI Number

1457852725

Provider Name

Nicole Realle Mccullough

Credential

Provider Entity Type

Individual

Gender

Female

Address

1411 Sw Morrison St Ste 310, Portland, OR, 97123-9439

Phone Number

503-799-4114

Fax Number

Provider Enumeration Date

02/22/2018

Last Update Date

03/10/2024

Identifier	Type	State	Issuer
1396085718	05	UT

Address

1411 Sw Morrison St Ste 310

City

Portland

State

Oregon

Zip

97205-1945

Phone Number

503-799-4114

Fax Number

Address

1411 Sw Morrison St Ste 310

City

Portland

State

Oregon

Zip

97205-1945

Phone Number

503-799-4114

Fax Number

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Mental Health

Taxonomy

101YM0800X

License No.

()

Definition

Definition to come...

Type

Behavioral Health & Social Service Providers

Classification

Behavior Technician

Speciality

Taxonomy

106S00000X

License No.

()

Definition

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.

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