Individual
GEORGE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
312 MARSHALL AVE STE 102, LAUREL, MD 20707-4840
(240) 297-3552
(240) 297-3552
Mailing address
312 MARSHALL AVE STE 102, LAUREL, MD 20707-4840
(240) 297-3552
(240) 297-3552
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
08/02/2017
Last updated
07/21/2022
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