Kalie Ann Sullivan

NPI #1205434834 in Winnemucca, Nevada

Provider Information

NPI Number: 1205434834
Entity Type: Individual
Name: Kalie Ann Sullivan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 15, 2020
Last Updated: Oct 15, 2020

Practice Location

Address: 202 FLORENCE CT
City: Winnemucca
State: Nevada
ZIP Code: 89445-3825
Phone: (775) 722-6598

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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