Individual
HANNAH JUNE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33 TURNPIKE RD, SOUTHBOROUGH, MA 01772-2108
(508) 481-1015
Mailing address
33 TURNPIKE RD, SOUTHBOROUGH, MA 01772-2108
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/12/2021
Last updated
01/14/2021
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