Individual
RICHARD A SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HSD
Contact information
Practice address
39 FOGG FARM RD, WILDER, VT 05001
(802) 728-4466
(802) 728-4197
Mailing address
PO BOX G, RANDOLPH, VT 05060-0167
(802) 728-4466
(802) 728-4197
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/04/2025
Last updated
04/08/2025
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