Individual
ABBIE LAURYN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 W LEE ST, ENTERPRISE, AL 36330-2424
(334) 475-4371
Mailing address
1418 ALTO REECE RD, COFFEE SPRINGS, AL 36318-5300
(334) 400-3674
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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