Individual
BRANDON J SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4906 CUTSHAW AVE, RICHMOND, VA 23230-3630
(804) 401-5038
Mailing address
4906 CUTSHAW AVE STE 200, RICHMOND, VA 23230-3630
(804) 401-5038
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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