Individual
DACIA SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
80 WASHINGTON ST STE P55, NORWELL, MA 02061-1742
(781) 290-3886
Mailing address
56 RIVER ST, BROCKTON, MA 02302-2363
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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