Individual
LILLIAN R SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
75 CLARK AVE, BLOOMFIELD, NJ 07003-3745
(732) 814-2259
Mailing address
75 CLARK AVE, BLOOMFIELD, NJ 07003-3745
(732) 814-2259
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NJ
Other
Enumeration date
12/18/2025
Last updated
12/18/2025
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