Individual
MEAGAN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBA
Contact information
Practice address
2487 S GILBERT RD STE 106-153, GILBERT, AZ 85295-8899
(480) 744-5286
(480) 675-4538
Mailing address
4530 E MUIRWOOD DR, PHOENIX, AZ 85048-7639
(480) 610-6981
(480) 898-7419
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41371
AZ
Other
Enumeration date
01/11/2018
Last updated
04/23/2024
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