Individual
ANDREA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1622 SAN CARLOS AVE, UNIT B, SAN CARLOS, CA 94070
(510) 832-4383
Mailing address
1622 SAN CARLOS AVE, UNIT B, SAN CARLOS, CA 94070
(510) 832-4383
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-43685
CA
Other
Enumeration date
03/12/2018
Last updated
03/07/2023
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