KELSEY J SULLIVAN (NPI# 1598364283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598364283 |
| Entity Type | Individual |
| Full Name | KELSEY J SULLIVAN |
| Practice Address |
35 Halladay Dr West Suffield CT 06093-2027 |
| Practice Telephone | 1860707376 |
| Mailing Telephone | 1860707376 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487270385 | Kelsey Sullivan | Nurse Practitioner | 799 E 6th St, South Boston, MA 02127-4317 | 2020-06-17 |
| 1568020717 | Kelsey Sullivan | Dentist | 2110 Towne Center Dr, Bellevue, NE 68123-6405 | 2019-06-03 |
| 1255892444 | Kelsey Sullivan | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue, Farmington, CT 06030-8073 | 2019-03-29 |
| 1063904464 | Kelsey Sullivan | Physician Assistant | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2018-05-31 |
| 1528562659 | Kelsey Michelle Sullivan | Student in an Organized Health Care Education/Training Program | 111 Colchester Ave, Burlington, VT 05401-1473 | 2018-03-22 |
| 1194249714 | Kelsey Sullivan | Counselor | 199 S Herlong Ave, Rock Hill, SC 29732-1186 | 2017-07-26 |
| 1225346059 | Kelsey Sullivan | Social Worker | 31882 Camino Capistrano, Suite 108, San Juan Capistrano, CA 92675-3222 | 2010-09-14 |
| 1518153543 | Kelsey Grace Sullivan | Physician Assistant | 1709 Dock St, Tacoma, WA 98402-3204 | 2007-09-24 |
| Street Address |
35 HALLADAY DR |
| City | WEST SUFFIELD |
| State | CT |
| Zip Code | 06093-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366686701 | Eleanor C Seiler | Pediatrics | 1147 N Stone St, West Suffield, CT 06093-2310 | 2009-04-29 |
| 1477751733 | Elizabeth Ann D'amico | Social Worker | 1812 Spruce St, West Suffield, CT 06093-2424 | 2007-07-10 |
| 1255594438 | Jean Egan | Counselor | 33 Woods Hollow Rd, West Suffield, CT 06093-2656 | 2008-07-08 |
| 1215156583 | Christine Kay Seymour | Counselor | 559 N Stone St, West Suffield, CT 06093-3214 | 2007-04-25 |
| 1184231342 | Caring for Parent LLC | In Home Supportive Care | 179 S Stone St, West Suffield, CT 06093-3217 | 2020-09-30 |
| 1861973885 | Shannah Zinkievich | Social Worker | 705 N Stone St, West Suffield, CT 06093-3230 | 2018-08-27 |
| 1649795972 | Mary Katherine Drenzek | Speech-Language Pathologist | 1486 Mountain Rd, West Suffield, CT 06093-3306 | 2017-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231342 | Caring for Parent LLC | In Home Supportive Care | 179 S Stone St, West Suffield, CT 06093-3217 | 2020-09-30 |
| 1861973885 | Shannah Zinkievich | Social Worker | 705 N Stone St, West Suffield, CT 06093-3230 | 2018-08-27 |
| 1649795972 | Mary Katherine Drenzek | Speech-Language Pathologist | 1486 Mountain Rd, West Suffield, CT 06093-3306 | 2017-08-08 |
| 1366686701 | Eleanor C Seiler | Pediatrics | 1147 N Stone St, West Suffield, CT 06093-2310 | 2009-04-29 |
| 1255594438 | Jean Egan | Counselor | 33 Woods Hollow Rd, West Suffield, CT 06093-2656 | 2008-07-08 |
| 1477751733 | Elizabeth Ann D'amico | Social Worker | 1812 Spruce St, West Suffield, CT 06093-2424 | 2007-07-10 |
| 1215156583 | Christine Kay Seymour | Counselor | 559 N Stone St, West Suffield, CT 06093-3214 | 2007-04-25 |
| 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 |
|---|---|---|---|---|
| 1033719158 | Jennifer Rodriguez | Behavior Technician | 1 Reservoir Corporate Ctr Ste 415, Shelton, CT 06484-6214 | 2020-10-28 |
| 1811504525 | Kala Farnham | Behavior Technician | 227 Peterson Rd, Pomfret Center, CT 06259-1421 | 2020-09-26 |
| 1730793621 | Leslie Gonzalez | Behavior Technician | 33 Dixwell Ave, New Haven, CT 06511-3403 | 2020-09-08 |
| 1659985638 | Kathryn Grissom | Behavior Technician | 95 Main Street, Suite 2, East Hampton, CT 06424 | 2020-09-07 |
| 1083228043 | Sadi-ann Duckett | Behavior Technician | 95 Main Streetm Suite 2, East Hampton, CT 06424 | 2020-09-06 |
| 1447869524 | Dr. Hill Educational Services LLC | Behavior Technician | 40 Glenfield Ave, Stratford, CT 06614-4044 | 2020-07-24 |
| 1053929000 | Jessica L Grillo | Behavior Technician | 209 Broad St Apt 1, Danielson, CT 06239-3037 | 2020-07-15 |
| 1144848094 | Lizana Patrick | Behavior Technician | 100 Mark Ln Unit E2, Waterbury, CT 06704-2441 | 2020-07-08 |
| 1043838139 | Shayna Marie Robinson | Behavior Technician | 62 Providence Pike Suite E, Putnam, CT 06260 | 2020-07-06 |
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| Find all providers with the same taxonomy | ||||
| City | WEST SUFFIELD |
| Zip Code | 06093 |
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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.