Individual
MRS. JILLIAN O'SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6775 PROSPERI DR, TINLEY PARK, IL 60477-4789
(708) 429-1260
Mailing address
16471 CRAIG DR, OAK FOREST, IL 60452-4341
(260) 444-9215
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/22/2015
Last updated
01/17/2018
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