Paula Sullivan
Behavior Technician in Citrus Heights, CA. Individual provider (NPI-1).
NPI number1609657477
StatusActive
Last updated in NPPESOct 9, 2023
Details
- NPI
- 1609657477
- Entity type
- Individual (NPI-1)
- Name
- Paula Sullivan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 9, 2023
- Certification date
- Oct 9, 2023
- Last updated
- Oct 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
6400 Tupelo DrCitrus Heights, CA 95621-1741
Phone 916-729-3098
Mailing address
2348 American River Dr Apt 112Sacramento, CA 95825-7024
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