| The Sullivan Aba Clinic, Llc | |
|
5493 Robmont Dr Fayetteville NC 28306-2674 | |
| (919) 538-3510 | |
| Not Available |
| Full Name | The Sullivan Aba Clinic, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5493 Robmont Dr, Fayetteville, North Carolina |
| Authorized Official Name and Position | Jessica Sullivan (CEO) |
| Authorized Official Contact | 9195383510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Sullivan Aba Clinic, Llc 5493 Robmont Dr Fayetteville NC 28306-2674 Ph: () - | The Sullivan Aba Clinic, Llc 5493 Robmont Dr Fayetteville NC 28306-2674 Ph: (919) 538-3510 |
| NPI Number | 1255128716 |
|---|---|
| Provider Enumeration Date | 04/21/2025 |
| Last Update Date | 04/21/2025 |
| Certification Date | 04/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255128716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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