KATIE SULLIVAN (NPI# 1578022430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578022430 |
| Entity Type | Individual |
| Full Name | KATIE SULLIVAN |
| Practice Address |
8762 Louisiana St Ste J Merrillville IN 46410-7190 |
| Practice Telephone | 2194720628 |
| Practice Fax Number | 2197509287 |
| Mailing Telephone | 2194720628 |
| Mailing Fax Number | 2197509287 |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970251 | Katie Michelle Sullivan | Nurse Practitioner | 8630 Fenton St Ste 1200, Silver Spring, MD 20910-3808 | 2020-07-28 |
| 1730715830 | Katie Sullivan | Pediatrics | 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 | 2020-03-20 |
| 1336784628 | Katie Halleran Sullivan | Nurse Practitioner | 3919 N Maple St, Spokane, WA 99205-1349 | 2019-11-11 |
| 1033775473 | Katie Lorin Sullivan | Physical Therapist | 3947 Gulf Shores Pkwy Ste 260, Gulf Shores, AL 36542-2729 | 2019-05-10 |
| 1740732080 | Katie E. Sullivan | Physical Therapist | 2106 Executive Dr, Hampton, VA 23666-2402 | 2016-11-03 |
| 1649524059 | Katie Jo Sullivan | Nurse Practitioner | 8579 Commerce Dr Ste 104, Easton, MD 21601-7420 | 2012-11-07 |
| 1447543079 | Katie Marie Sullivan | Developmental Therapist | 321 Fortune Blvd, Milford, MA 01757-1750 | 2011-05-16 |
| 1851556559 | Katie L Sullivan | Speech-Language Pathologist | 5040 E Shea Blvd, Suite 168, Scottsdale, AZ 85254-4600 | 2008-07-22 |
| 1073534863 | Katie Leigh Sullivan | Physical Therapist | 1630 Commanche Ave, Green Bay, WI 54313-6089 | 2006-07-21 |
| Street Address |
8762 LOUISIANA ST STE J |
| City | MERRILLVILLE |
| State | IN |
| Zip Code | 46410-7190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881168912 | Rachel Dick | Behavioral Analyst | 8762 Louisiana St Ste J, Merrillville, IN 46410-7190 | 2019-01-11 |
| 1073114468 | Carissa Culver | Assistant Behavior Analyst | 8762 Louisiana St Ste J, Merrillville, IN 46410-7190 | 2020-11-03 |
| 1881233013 | Samantha Roadruck | Behavioral Analyst | 8762 Louisiana St Ste J, Merrillville, IN 46410-7190 | 2020-01-06 |
| 1265991160 | Holli Gilman | Behavior Technician | 8762 Louisiana St Ste J, Merrillville, IN 46410-7190 | 2019-03-19 |
| 1114486081 | Lindsey Bridgeman | Behavior Technician | 8762 Louisiana St Ste J, Merrillville, IN 46410-7190 | 2019-03-19 |
| 1821557703 | Megan Mahoney | Behavior Technician | 8762 Louisiana St Ste J, Merrillville, IN 46410-7190 | 2019-03-19 |
| 1053870949 | Taryn Sanchez | Behavior Technician | 8762 Louisiana St Ste J, Merrillville, IN 46410-7190 | 2019-03-19 |
| 1861951758 | I'easha Satana | Behavior Technician | 8762 Louisiana St Ste J, Merrillville, IN 46410-7190 | 2019-03-19 |
| 1619436524 | Jonathan Destjean | Behavior Technician | 8762 Louisiana St Ste J, Merrillville, IN 46410-7190 | 2019-03-19 |
| 1568921443 | Gracie Burt | Behavior Technician | 8762 Louisiana St Ste J, Merrillville, IN 46410-7190 | 2019-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
| 1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
| 1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
| 1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
| 1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
| 1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
| 1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
| 1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
| 1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
| 1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
| Find all providers in zip 46410 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| 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 |
|---|---|---|---|---|
| 1326652660 | Erin Rolland | Behavior Technician | 8200 Gerogia St., Merrillville, IN 46410-6227 | 2020-09-03 |
| 1316547144 | Shana L Pinto | Behavior Technician | 8200 Gerogia St., Merrillville, IN 46410-6227 | 2020-10-30 |
| 1073113130 | Alexis Azpeitia | Behavior Technician | 8200 Gerogia St., Merrillville, IN 46410-6227 | 2020-10-28 |
| 1154921559 | Emiley Hunt | Behavior Technician | 8200 Gerogia St., Merrillville, IN 46410-6227 | 2020-10-27 |
| 1104425982 | Brianna Pohlmann | Behavior Technician | 8200 Gerogia St., Merrillville, IN 46410-6227 | 2020-10-22 |
| 1770181463 | Alicia Cervantes | Behavior Technician | 8200 Gerogia St., Merrillville, IN 46410 | 2020-10-14 |
| 1194322438 | Taylor Collins | Behavior Technician | 8200 Gerogia St., Merrillville, IN 46410-6227 | 2020-10-08 |
| 1174120026 | Genna Rose Brook | Behavior Technician | 251 W 84th Dr, Merrillville, IN 46410-6243 | 2020-10-05 |
| 1386241214 | Jessica Lynn Lundin | Behavior Technician | 251 W 84th Dr, Merrillville, IN 46410-6243 | 2020-10-05 |
| 1912504861 | Jasmine Kellie Williams | Behavior Technician | 251 W 84th Dr, Merrillville, IN 46410-6243 | 2020-10-05 |
| Find all providers in MERRILLVILLE | ||||
| City | MERRILLVILLE |
| Zip Code | 46410 |
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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.