Individual
JULIE ANNE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
132 MAIN ST, UPTON, MA 01568-1648
(774) 606-4639
Mailing address
4 BOW ST, PLAINVILLE, MA 02762-1002
(774) 606-4639
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2652
MA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/26/2018
Last updated
04/19/2022
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