Michael J Sullivan, RBT

NPI #1679392096 in Perris, California

Provider Information

NPI Number: 1679392096
Entity Type: Individual
Name: Michael J Sullivan, RBT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Oct 3, 2024
Last Updated: Oct 3, 2024

Practice Location

Address: 21105 KIMES LN
City: Perris
State: California
ZIP Code: 92570-9604
Phone: (808) 852-8005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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