Individual
EMMA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 CONSTITUTION WAY STE C, WOBURN, MA 01801-1199
(888) 754-0398
Mailing address
16 CURTIS ST APT 1, SOMERVILLE, MA 02144-1558
(703) 966-8817
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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