Individual
MRS. EMILY RICKER SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M ED., BCBA
Contact information
Practice address
85 WARDWELL RD, WEST HARTFORD, CT 06107-3003
(781) 308-0829
Mailing address
85 WARDWELL RD, WEST HARTFORD, CT 06107-3003
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-12669
CT
Other
Enumeration date
03/24/2008
Last updated
11/05/2012
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