Individual
MICHELLE SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
22 WAMPATUCK AVE, SCITUATE, MA 02066-2930
(781) 987-3580
Mailing address
22 WAMPATUCK AVE, SCITUATE, MA 02066-2930
(781) 987-3580
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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