NPI 1033381660

Emily Ricker Sullivan, MEDBCBA

Practitioner Behavior Analyst West Hartford, CT

Practice location

Address: 85 Wardwell Rd, West Hartford, CT 06107-3003
Phone: (781) 308-0829

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1-12-12669 (CT)

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Registry record

NPI: 1033381660
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Mar 2008
Record last updated: 5 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.