Individual
MISS SYDNEY SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
103 MECHANIC ST, EAST BROOKFIELD, MA 01515-9800
(413) 459-9565
Mailing address
103 MECHANIC ST, EAST BROOKFIELD, MA 01515-9800
(413) 459-9565
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-44781
MA
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
01/16/2019
Last updated
07/09/2023
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