Most Relevant Information
Provider Data
| NPI Number: | 1003381567 |
| Provider Name: | KEJUAN SULLIVAN WILLIAMS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/10/2018 |
| Last Updated: | 08/28/2022 |
Provider Practice Location
690 DIXIE HWY
ROSSFORD
OH
434601221
Practice Location Phone/Fax
| Phone: | 6148443800 |
| Fax: |
Provider Mailing Location
2534 KEY ST APT 3
TOLEDO
OH
436144806
Provider Mailing Phone/Fax
| Phone: | 3136930585 |
| Fax: |