Individual
NARISSA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1010 N HANCOCK ST, PHILADELPHIA, PA 19123-2334
(201) 953-0099
Mailing address
1010 N HANCOCK ST, PHILADELPHIA, PA 19123-2334
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
06/13/2022
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