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Sasha Sullivan

Behavior Technician in Evans, GA. Individual provider (NPI-1).

NPI number1245174366
StatusActive
Last updated in NPPESApr 17, 2026

Details

NPI
1245174366
Entity type
Individual (NPI-1)
Name
Sasha Sullivan
Sex
Female
Sole proprietor
No
Enumeration date
Apr 17, 2026
Certification date
Apr 17, 2026
Last updated
Apr 17, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-26-529316GAYes

Practice location

7013 Evans Town Center Blvd Ste 401
Evans, GA 30809-4317

Phone 706-842-5330 · Fax 706-842-5340

Mailing address

209 7th St Fl 3
Augusta, GA 30901-1486

Phone 706-842-5330 · Fax 706-842-5340

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