Andrew Sullivan
Behavior Technician in Anaheim, CA. Individual provider (NPI-1).
NPI number1104795079
StatusActive
Last updated in NPPESOct 30, 2025
Details
- NPI
- 1104795079
- Entity type
- Individual (NPI-1)
- Name
- Andrew Sullivan
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 30, 2025
- Certification date
- Oct 30, 2025
- Last updated
- Oct 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2569 W Woodland DrAnaheim, CA 92801-2608
Phone 888-428-3223 · Fax 323-866-1881
Mailing address
4221 Wilshire Blvd Ste 300aLos Angeles, CA 90010-3537
Phone 888-428-3223 · Fax 323-866-1881
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All 2,492 Behavior Technician providers in Anaheim · All 11,123 providers in Anaheim
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