Individual
MS. CARRIE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
274 REDWOOD SHORES PKWY # 639, REDWOOD CITY, CA 94065-1173
(415) 902-6066
Mailing address
274 REDWOOD SHORES PKWY # 639, REDWOOD CITY, CA 94065-1173
(415) 902-6066
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-12927
CA
Other
Enumeration date
04/16/2014
Last updated
11/23/2015
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