Organization
NEUROBEHAVIORAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY A SULLIVAN PH.D. (OWNER)
(423) 952-0992
Entity
Organization
Contact information
Practice address
2 WORTH CIR STE 2, JOHNSON CITY, TN 37601-4306
(423) 952-0992
(423) 952-0284
Mailing address
2 WORTH CIR STE 2, JOHNSON CITY, TN 37601-4306
(423) 952-0992
(423) 952-0284
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
103GC0700X
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3980369
—
TN
Enumeration date
06/12/2007
Last updated
05/22/2008
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