Individual
MS. SUSAN LAUREN O'SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
470A LIBERTY ST., APT. 303, LITTLE FERRY, NJ 07643
(201) 694-1139
Mailing address
470A LIBERTY ST., APT. 303, LITTLE FERRY, NJ 07643
(201) 694-1139
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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