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Individual

CHELSEA SULLIVAN VICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
11030 JONES BRIDGE RD STE 310, JOHNS CREEK, GA 30022-4560
(678) 691-2206
Mailing address
2472 JETT FERRY RD STE 400-197, ATLANTA, GA 30338-3059
(678) 691-2206

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
12/13/2016
Last updated
03/02/2023
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