Sullivan, Keri

Sullivan, Keri is an individual health care provider with primary practice located at 175 Middle St Suite 1201, Lake Mary FL 32746-3625. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Sullivan, Keri can be contacted via phone (315) 447-3617.

Contact Information

Primary practice address
175 Middle St Suite 1201 Lake Mary FL 32746-3625
Phone: (315) 447-3617
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 11518907 North Carolina

Profile Details

NPI number 1578948295
LBN Legal business name Sullivan, Keri
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2015
Last updated Mar 24th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578948295 NPPES
Florida MEDICAID 009093700

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