Individual
AUSTIN SULLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6214 24TH AVE, BROOKLYN, NY 11204-3319
(186) 622-2111
Mailing address
2244 SW SUNCATCHER RD, LEES SUMMIT, MO 64082-4003
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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