MRS. Mandy Jo Sullivan, BCBA
NPI #1992006621 in Murphysboro, Illinois
Provider Information
- NPI Number
- 1992006621
- Entity Type
- Individual
- Name
- MRS. Mandy Jo Sullivan, BCBA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Analyst
- Credential
- BCBA
- Enumeration Date
- Nov 11, 2010
- Last Updated
- May 4, 2018
Practice Location
- Address
- 20 N 13TH ST
- City
- Murphysboro
- State
- Illinois
- ZIP Code
- 62966-2057
- Phone
- (618) 687-2378
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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