Individual
ABIGAIL JADE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8888 KEYSTONE CROSSING, INDIANAPOLIS, IN 46240-4609
(463) 842-0641
Mailing address
3302 COUNTRY BROOK ST, COLUMBUS, IN 47201-7166
(812) 343-9688
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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