Provider Demographics
NPI:1639566342
Name:MCQUILLAN, CATHERINE (BCBA)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:
Last Name:MCQUILLAN
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6637 SUGAR CREEK DR S
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36695-2932
Mailing Address - Country:US
Mailing Address - Phone:251-633-8117
Mailing Address - Fax:
Practice Address - Street 1:6637 SUGAR CREEK DR S
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36695-2932
Practice Address - Country:US
Practice Address - Phone:251-633-8117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-20
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst