Individual
MS. JENNIFER SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
160 WINDSOR AVE, SWAMPSCOTT, MA 01907-1048
(339) 440-5058
Mailing address
160 WINDSOR AVE, SWAMPSCOTT, MA 01907-1048
(339) 440-5058
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1084533
MA
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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