Individual
MEGAN CLAIRE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBA
Contact information
Practice address
900 GREEN HILL RD, PAWLET, VT 05761-9442
(609) 315-9201
Mailing address
900 GREEN HILL RD, PAWLET, VT 05761-9442
(609) 315-9201
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
003421
NY
103K00000X
Behavior Analyst
1460134163
VT
Other
Enumeration date
12/04/2019
Last updated
04/24/2024
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