Individual
HEATHER MARIE SULLIVAN-STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11909 N DIVISION ST STE 102, SPOKANE, WA 99218-1969
(509) 319-2232
Mailing address
14905 N MCKINNON CT, MEAD, WA 99021-9493
(509) 220-1490
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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