LYSHA A SULLIVAN

JEROME, ID
NPI1881418051
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies101Y00000X Counselor
103K00000X Behavior Analyst
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-11-13
Last Update Date2024-11-13
Business Address
LYSHA A SULLIVAN
130 S LINCOLN AVE
JEROME, ID 83338-2631
Phone number: 208-595-4950
Mailing Address
LYSHA A SULLIVAN
130 S LINCOLN AVE
JEROME, ID 83338-2631
Phone number: 208-595-4950