Timothy Coleman Sullivan, M.ED., BCBA

NPI #1306110176 in Garden Grove, California

Provider Information

NPI Number: 1306110176
Entity Type: Individual
Name: Timothy Coleman Sullivan, M.ED., BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: M.ED., BCBA
Enumeration Date: Feb 26, 2012
Last Updated: Feb 26, 2012

Practice Location

Address: 7291 GARDEN GROVE BLVD
Address 2: SUITE F
City: Garden Grove
State: California
ZIP Code: 92841-4211
Phone: (949) 939-1051

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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