Michelle Pamela Sullivan, RBT

NPI #1245876069 in Columbus, Georgia

Provider Information

NPI Number: 1245876069
Entity Type: Individual
Name: Michelle Pamela Sullivan, RBT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Nov 27, 2019
Last Updated: Aug 31, 2020

Practice Location

Address: 3800 UNIVERSITY AVE
City: Columbus
State: Georgia
ZIP Code: 31907-5609
Phone: (800) 676-5130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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