Individual
JESSICA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5493 ROBMONT DR, FAYETTEVILLE, NC 28306-2674
(919) 538-3510
Mailing address
5493 ROBMONT DR, FAYETTEVILLE, NC 28306-2674
(919) 538-3510
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-65592
NC
Other
Enumeration date
12/28/2021
Last updated
05/06/2026
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