Individual
JOHN MICHAEL SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2004 ROUTE 17M, GOSHEN, NY 10924-5210
(845) 294-0661
Mailing address
25 TERBAR LOOP, NEW PALTZ, NY 12561-4028
(516) 376-6527
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
000917
NY
Other
Enumeration date
06/25/2026
Last updated
06/25/2026
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