Individual
JOHN SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 CHANDLER DR, CHESAPEAKE, VA 23322-3838
(757) 615-3003
Mailing address
420 CHANDLER DR, CHESAPEAKE, VA 23322-3838
(757) 615-3003
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13278
VA
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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