Individual
MADISON DELAINEY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBS
Contact information
Practice address
3109 FORBES AVE STE 100, PITTSBURGH, PA 15213-3010
(412) 684-2890
Mailing address
3109 FORBES AVE STE 100, PITTSBURGH, PA 15213-3010
(412) 684-2890
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-57871
PA
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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