GEORGE SULLIVAN (NPI# 1225552052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225552052 |
| Entity Type | Individual |
| Full Name | GEORGE SULLIVAN |
| Practice Address |
312 Marshall Ave Ste 102 Laurel MD 20707-4840 |
| Practice Telephone | (240) 297-3552 |
| Practice Fax Number | 2402973552 |
| Mailing Telephone | 2402973552 |
| Mailing Fax Number | 2402973552 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144358557 | George Sullivan | Specialist | 1506 5th Ave Sw, Olympia, WA 98502-5248 | 2007-02-28 |
| 1225671720 | George Blake Sullivan | Nurse Practitioner | 400 Warren Ave Ste 200, Bremerton, WA 98337-1467 | 2019-10-28 |
| 1447237813 | George Sullivan | Anesthesiology | 601 E Rollins St, Orlando, FL 32803-1248 | 2005-12-28 |
| Street Address |
312 MARSHALL AVE STE 102 |
| City | LAUREL |
| State | MD |
| Zip Code | 20707-4840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134572399 | Jada Tucker | Behavioral Analyst | 312 Marshall Ave Ste 102, Laurel, MD 20707-4840 | 2016-07-22 |
| 1801365812 | Oyindamola Anuoluwapo Odulaja | Behavior Technician | 312 Marshall Ave Ste 102, Laurel, MD 20707-4840 | 2018-11-19 |
| 1306325782 | Kehinde Olasehinde | Behavior Technician | 312 Marshall Ave Ste 102, Laurel, MD 20707-4840 | 2018-08-07 |
| 1689151771 | Ashley Higgs | Behavior Technician | 312 Marshall Ave Ste 102, Laurel, MD 20707-4840 | 2018-07-23 |
| 1730665068 | Eva Wilda Marcelus | Behavior Technician | 312 Marshall Ave Ste 102, Laurel, MD 20707-4840 | 2018-07-19 |
| 1245716885 | Kayla Gardner | Behavior Technician | 312 Marshall Ave Ste 102, Laurel, MD 20707-4840 | 2018-07-17 |
| 1922584580 | Monique James | Behavior Technician | 312 Marshall Ave Ste 102, Laurel, MD 20707-4840 | 2018-07-17 |
| 1972089787 | Ashley Parham-phillips | Behavior Technician | 312 Marshall Ave Ste 102, Laurel, MD 20707-4840 | 2018-07-15 |
| 1003392150 | John Amada | Behavior Technician | 312 Marshall Ave Ste 102, Laurel, MD 20707-4840 | 2018-07-12 |
| 1881170009 | Andrea Bagwell | Behavior Technician | 312 Marshall Ave Ste 102, Laurel, MD 20707-4840 | 2018-07-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157156 | Mini'imah Wilson | Social Worker | 15041 Cherrywood Dr, Laurel, MD 20707 | 2020-08-31 |
| 1548893985 | Ernest Freeman | Clinic/Center | 367 Main St., Laurel, Laurel, MD 20707 | 2020-02-13 |
| 1538701859 | Family Health and Wellness Clinic LLC | Clinic/Center | 324 Main St. #523, Laurel, MD 20707 | 2019-10-09 |
| 1467018226 | Leena Daniel | Nurse Practitioner | 13 C Street, Suite D, Laurel, MD 20707 | 2019-05-16 |
| 1538723143 | Florence Okojie | Nurse Practitioner | 13 C St Ste G, Laurel, MD 20707 | 2019-04-29 |
| 1487148631 | Munsha Sidhu Chadha | Dentist | 595 Main St Ste 237, Laurel, MD 20707 | 2018-06-20 |
| 1568953370 | Carleen Graham Schwimmer | Clinical Neuropsychologist | Veterans Affairs War Related Illness & Injury (wriisc), 50 Irving Street Nw, Washington, MD 20707 | 2018-05-29 |
| 1043709637 | Bk Behavioral Health Center | Behavior Technician | 14300 Cherry Lane Ct Ste 202-203, Laurel, MD 20707 | 2018-05-09 |
| 1053800839 | Bk Behaviorial Health Center | Substance Abuse Rehabilitation Facility | 14300 Cherry Lane Court, Suite 202-203, Laurel, MD 20707 | 2018-05-07 |
| 1316435795 | Laurel Pharmacy II LLC | Pharmacy | 14402 Baltimore Ave, Laurel, MD 20707 | 2018-05-01 |
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| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| 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. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447778006 | Danielle Grant | Assistant Behavior Analyst | 312 Marshall Ave Suite 102, Laurel, MD 20707 | 2017-09-05 |
| 1730673476 | Bridget Alecia Richardson | Assistant Behavior Analyst | 312 Marshall Ave Ste 102, Laurel, MD 20707-4840 | 2018-06-17 |
| 1255848412 | Shanelle D Downing | Assistant Behavior Analyst | 312 Marshall Ave Ste 102, Laurel, MD 20707-4840 | 2018-01-09 |
| 1689186389 | Elsie Guerrero | Assistant Behavior Analyst | 312 Marshall Ave Ste 102, Laurel, MD 20707-4840 | 2017-11-02 |
| 1730603531 | Anna Marie Luehr | Assistant Behavior Analyst | 312 Marshall Ave Ste 102, Laurel, MD 20707-4840 | 2017-08-02 |
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| 1952870669 | Michelle Fox | Assistant Behavior Analyst | 401 Montemar Ave, Catonsville, MD 21228-5214 | 2018-11-26 |
| 1881162014 | Personalized Therapy, LLC | Assistant Behavior Analyst | 3261 Old Washington Rd Ste 1010, Waldorf, MD 20602-3228 | 2018-11-06 |
| 1205313210 | Shaleise Raschon Scott | Assistant Behavior Analyst | 4301 Forbes Blvd Ste B, Lanham, MD 20706-4446 | 2018-07-23 |
| 1649756990 | Daniella Eyasu | Assistant Behavior Analyst | 5200 Decatur St, Hyattsville, MD 20781-2409 | 2018-07-18 |
| 1497240568 | Beyond Behavior LLC | Assistant Behavior Analyst | 301 Winston Rd, Pasadena, MD 21122-2618 | 2018-06-29 |
| 1790287670 | Daniela Gaona Garcia | Assistant Behavior Analyst | 1724 Marshall St, Baltimore, MD 21230-4819 | 2018-03-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.