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Denniqua Sullivan

Behavior Technician in Milpitas, CA. Individual provider (NPI-1).

NPI number1164053500
StatusActive
Last updated in NPPESFeb 3, 2020

Details

NPI
1164053500
Entity type
Individual (NPI-1)
Name
Denniqua Sullivan
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 3, 2020
Certification date
Feb 3, 2020
Last updated
Feb 3, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1603a S Main St
Milpitas, CA 95035-6261

Phone 246-840-8842

Mailing address

48952 Rosegarden Ct
Fremont, CA 94539-8034

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