Most Relevant Information
Provider Data
| NPI Number: | 1003324104 |
| Provider Name: | MEAGAN SULLIVAN M.ED., BCBA, LBA |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1-20-41371 |
Most Important Dates
| Enumeration Date: | 01/11/2018 |
| Last Updated: | 04/23/2024 |
Provider Practice Location
2487 S GILBERT RD STE 106-153
GILBERT
AZ
852958899
Practice Location Phone/Fax
| Phone: | 4807445286 |
| Fax: | 4806754538 |
Provider Mailing Location
4530 E MUIRWOOD DR
PHOENIX
AZ
850487639
Provider Mailing Phone/Fax
| Phone: | 4806106981 |
| Fax: | 4808987419 |