JORDAN SULLIVAN
Day Training/Habilitation Specialist
Active
Individual
NPI: 1083199434
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor | 101Y00000X | No | - |
| Counselor - Mental Health | 101YM0800X | No | - |
| Behavior Technician | 106S00000X | No | - |
| Case Manager/Care Coordinator | 171M00000X | No | - |
| Community Health Worker | 172V00000X | No | - |
| Rehabilitation Practitioner | 225400000X | No | - |
| Day Training/Habilitation Specialist | 373H00000X | Yes | - |
Frequently Asked Questions
NPI 1083199434 is the National Provider Identifier for JORDAN SULLIVAN, a Day Training/Habilitation Specialist provider located in Roseville, CA. This NPI was enumerated on October 2, 2018.
JORDAN SULLIVAN practices at 1520 EUREKA RD STE 102, Roseville, CA 95661.
Quick Facts
- NPI
- 1083199434
- Type
- Individual
- Enumerated
- Oct 2, 2018
- Last Updated
- Apr 23, 2025
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