Individual
KENYAH SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
445 E DUBLIN GRANVILLE RD, WORTHINGTON, OH 43085-3192
(614) 381-3100
Mailing address
445 E DUBLIN GRANVILLE RD, WORTHINGTON, OH 43085-3192
(614) 381-3100
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0242225
—
OH
Enumeration date
05/23/2018
Last updated
09/19/2025
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