SearchMichiganBehavior Technician

Jaimie Sullivan, LLBSW

NPI 1356907372 · on the registry since 2019

Practice

Address
8415 Shirley Ct Apt 11
Portage, MI 49024
Phone
(586) 907-4369
Organisation at this address
Luminous Path Therapy
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Behavior Technician
106S00000X
Sex
Female
Record last updated
2019-05-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan