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1730769407
LACEY SULLIVAN
HUNTINGTON BEACH, CA
NPI
1730769407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: CA 1-21-55954)
Enumeration Date
2021-04-08
Last Update Date
2021-12-01
Business Address
LACEY SULLIVAN BCBA
18685 MAIN ST STE 101-459
HUNTINGTON BEACH, CA 92648-1723
Phone number: 714-697-1907
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Mailing Address
LACEY SULLIVAN BCBA
18685 MAIN ST STE 101-459
HUNTINGTON BEACH, CA 92648-1723
Phone number: 714-697-1907
Copy
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