Individual
ERIN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1161 LAKE COOK RD, DEERFIELD, IL 60015-5649
(847) 498-5437
(224) 258-1400
Mailing address
1161 LAKE COOK RD, DEERFIELD, IL 60015-5649
(847) 498-5437
(224) 258-1400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-117474
IL
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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