Individual
ROISIN SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 112TH AVE NE STE 260E, BELLEVUE, WA 98004-2937
(203) 880-0544
Mailing address
1800 112TH AVE NE STE 260E, BELLEVUE, WA 98004-2937
(206) 388-0544
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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