Jacob Leo Sullivan
Jacob Leo Sullivan is a Behavior Technician in Ontario, California. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1500 S Haven Ave Ste 250Ontario, CA 91761-2973
Phone: (909) 749-5204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1558980227 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 13, 2020 |
| Last updated in NPPES | April 13, 2020 |
| Certification date | April 13, 2020 |
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