Individual
MR. DAVID A SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1187 LAKEWOOD FARMINGDALE RD, HOWELL, NJ 07731-8689
(844) 525-5226
Mailing address
255 TACKLE AVE, MANAHAWKIN, NJ 08050-2265
(856) 803-9452
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-46295
NJ
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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