Individual
MS. DEBORAH M SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
SEVITA, 103 COMMERCIAL ST, BROCKTON, MA 02302
(508) 521-2807
Mailing address
84 E SHORE RD, HOLBROOK, MA 02343
(774) 849-2022
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-08-4897
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/12/2009
Last updated
03/16/2023
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