Jennifer Renee Sullivan
NPI #1902049653 in Bloomington, Illinois
Provider Information
- NPI Number
- 1902049653
- Entity Type
- Individual
- Name
- Jennifer Renee Sullivan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Apr 10, 2009
- Last Updated
- Apr 10, 2009
Practice Location
- Address
- 2416 E WASHINGTON ST
- Address 2
- SUITE G
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61704-4472
- Phone
- (309) 662-5050
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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