Individual
CAROLINE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
281 AVENUE C APT 12B, NEW YORK, NY 10009-2309
(203) 253-5996
Mailing address
281 AVENUE C APT 12B, NEW YORK, NY 10009-2309
(203) 253-5996
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1664131221
NY
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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