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MR. BRADEN ALEC SULLIVAN N/A NPI 1053840975


NPI Information

NPI: 1053840975
Provider Name: MR. BRADEN ALEC SULLIVAN, N/A
Classification: Assistant Behavior Analyst - 106E00000X
Entity Type: Individual
Address:
2258 N LAKEWAY CIR
WICHITA, KS
ZIP 67205
Phone: (316) 945-7117
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MR. Braden Alec Sullivan, N/A is an assistant behavior analyst in Wichita, KS. The provider is an assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. MR. Braden Alec Sullivan, N/A NPI is 1053840975. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2258 N LAKEWAY CIR
WICHITA, KS
ZIP 67205
Phone: (316) 945-7117
Fax: (316) 945-7447

The enumeration date for this NPI number is 6/5/2017 and was last updated on 6/26/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesKANSASNo
2106E00000XAssistant Behavior AnalystYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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