Sullivan, Taya

Sullivan, Taya is an individual health care provider with primary practice located at 200 Grove Park Ln Ste 110 , Dothan AL 36305-5912. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Sullivan, Taya can be contacted via phone (334) 305-0297.

Contact Information

Primary practice address
200 Grove Park Ln Ste 110 Dothan AL 36305-5912
Phone: (334) 305-0297
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1992404768
LBN Legal business name Sullivan, Taya
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2023
Last updated Mar 1st, 2023 - about 3 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.

Request for update

Popular Providers