Individual
KALIE ANN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 FLORENCE CT, WINNEMUCCA, NV 89445-3825
(775) 722-6598
Mailing address
202 FLORENCE CT, WINNEMUCCA, NV 89445-3825
(775) 722-6598
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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