Individual
MS. AMANDA ROSE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BEHAVIOR TECHNICIAN
Contact information
Practice address
1801 ROYAL LN STE 300, DALLAS, TX 75229-3765
(888) 754-0398
Mailing address
4144 LAKEHURST CT, DALLAS, TX 75211-3284
(214) 270-9599
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
TX
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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