Individual
ELIZABETH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13322 I ST, OMAHA, NE 68137-1111
(402) 230-5861
Mailing address
985450 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-5450
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/13/2018
Last updated
04/13/2020
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