Individual
OLIVIA SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
770 SAYBROOK RD UNIT B4, MIDDLETOWN, CT 06457-4739
(860) 421-4052
(860) 421-4053
Mailing address
770 SAYBROOK RD UNIT B4, MIDDLETOWN, CT 06457-4739
(860) 421-4052
(860) 421-4053
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1950
CT
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/07/2022
Last updated
08/19/2024
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