Individual
CANDACE LEIGH O'SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
110 COURT ST STE 3, CROMWELL, CT 06416-1273
(860) 613-9930
(860) 613-9952
Mailing address
110 COURT ST STE 3, CROMWELL, CT 06416-1273
(860) 613-9930
(860) 613-9952
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15176
—
Other
Enumeration date
05/13/2014
Last updated
02/07/2024
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