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NPI Code Detail

MEDICARE: SARA SULLIVAN

MEDICARE: SARA SULLIVAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106E00000XAssistant Behavior AnalystFL

General Provider Information

NPI Number : 1922939529
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA SULLIVAN
Provider Business Mailing Address
First Line : 7108 S KANNER HWY
Second Line :
City : STUART
State : FL
Zip : 34997-7462
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9160 FORUM CORPORATE PKWY STE 350
Second Line :
City : FORT MYERS
State : FL
Zip : 33905-7808
Country : US
Telephone Number : 855-832-6727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2026
Last Update Date : 05/25/2026

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Directions to “ SARA SULLIVAN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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