Rebecca Sullivan
Behavior Technician in Fort Worth, TX. Individual provider (NPI-1).
NPI number1982304259
StatusActive
Last updated in NPPESSep 29, 2026
Details
- NPI
- 1982304259
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Sullivan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 6, 2023
- Certification date
- Mar 6, 2023
- Last updated
- Sep 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | TX | Yes |
Practice location
420 Commerce StFort Worth, TX 76102-4085
Phone 682-703-9849
Mailing address
212 Kelly Brook LnWeatherford, TX 76087-5401
Phone 618-806-8581
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