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Dacia Sullivan

Behavior Technician in Norwell, MA. Individual provider (NPI-1).

NPI number1669977823
StatusActive
Last updated in NPPESMar 28, 2018

Details

NPI
1669977823
Entity type
Individual (NPI-1)
Name
Dacia Sullivan
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 28, 2018
Last updated
Mar 28, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

80 Washington St Ste P55
Norwell, MA 02061-1742

Phone 781-290-3886

Mailing address

56 River St
Brockton, MA 02302-2363

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