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1306110176
TIMOTHY COLEMAN SULLIVAN
GARDEN GROVE, CA
NPI
1306110176
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-11-9321)
Enumeration Date
2012-02-26
Last Update Date
2012-02-26
Business Address
-- TIMOTHY COLEMAN SULLIVAN M.Ed., BCBA
7291 GARDEN GROVE BLVD SUITE F
GARDEN GROVE, CA 92841-4211
Phone number: 949-939-1051
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Mailing Address
-- TIMOTHY COLEMAN SULLIVAN M.Ed., BCBA
205 DAVID DR UNIT A
NEWPORT BEACH, CA 92663-1767
Phone number: 774-313-0981
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