Taya Sullivan

NPI #1992404768 in Dothan, Alabama

Provider Information

NPI Number: 1992404768
Entity Type: Individual
Name: Taya Sullivan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 1, 2023
Last Updated: Mar 1, 2023

Practice Location

Address: 200 GROVE PARK LN STE 110
City: Dothan
State: Alabama
ZIP Code: 36305-5912
Phone: (334) 305-0297

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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