Individual
DANIEL J SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
15 E 40TH ST, NEW YORK, NY 10016-0401
(212) 235-5043
Mailing address
61 POST AVE APT 2, NEW YORK, NY 10034-4756
(347) 928-3338
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-31961
NY
103K00000X
Behavior Analyst
1-18-31961
—
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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