Kayla Marie Sullivan

NPI #1982450649 in Montrose, Michigan

Provider Information

NPI Number: 1982450649
Entity Type: Individual
Name: Kayla Marie Sullivan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 24, 2024
Last Updated: Apr 24, 2024

Practice Location

Address: 10191 ELMS RD
City: Montrose
State: Michigan
ZIP Code: 48457-9194
Phone: (810) 288-5865

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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