BRANDON KAI SULLIVAN RADT NPI 1154913267

NPI Information

NPI: 1154913267
Provider Name: BRANDON KAI SULLIVAN, RADT
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
527 S ARCHER ST
ANAHEIM, CA
ZIP 92804
Phone: (404) 748-3372
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Brandon Kai Sullivan, RADT is an addiction (substance use disorder) counselor in Anaheim, CA. Brandon Kai Sullivan, RADT NPI is 1154913267. 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:

527 S ARCHER ST
ANAHEIM, CA
ZIP 92804-421
Phone: (404) 748-3372

The enumeration date for this NPI number is 2/9/2021 and was last updated on 2/9/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	R141757121	CALIFORNIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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