Individual
ELIZABETH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
15501 WESTON PKWY, CARY, NC 27513-8636
(180) 093-1811
Mailing address
15501 WESTON PKWY, CARY, NC 27513-8636
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/25/2021
Last updated
12/26/2023
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