Individual
PETER SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1651 OLD MEADOW RD, MC LEAN, VA 22102-4311
(800) 828-5659
Mailing address
10508 RATCLIFFE TRL, MANASSAS, VA 20110-7827
(571) 384-9175
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
VA
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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