IndividualActive
Alexander Sullivan
NPI 1720810435 · Behavior Technician · Bloomington, IL
Provider details
- NPI number
- 1720810435
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Mailing address
2550 N Hollywood Way Ste 301
Burbank, CA 91505-5025
Registry dates
- Enumerated
- 2024-08-20
- Last updated
- 2024-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.