Individual
ASHLYNN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBT
Contact information
Practice address
1410 NE STADIUM WAY, PULLMAN, WA 99163-4619
(509) 332-7005
Mailing address
1330 S MAIN ST APT 15, MOSCOW, ID 83843-4242
(208) 916-6576
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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