KELLY SULLIVAN (NPI# 1831636778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831636778 |
| Entity Type | Individual |
| Full Name | KELLY SULLIVAN |
| Practice Address |
273 Powell Cir Berlin MD 21811-1185 |
| Practice Telephone | 4437839391 |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-01-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| 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 |
|---|---|---|---|---|
| 1144832205 | Kelly E Sullivan | Nurse Practitioner | 10020 Southern Maryland Blvd Ste 202, Dunkirk, MD 20754-3055 | 2020-08-20 |
| 1124670724 | Kelly Elizabeth Sullivan | Occupational Therapy Assistant | 12 Deforest Rd, Lansdowne, PA 19050-2109 | 2019-07-12 |
| 1427549088 | Kelly Elizabeth Sullivan | Nurse Practitioner | 428 Hartford Tpke Ste 207, Vernon, CT 06066-4841 | 2018-05-19 |
| 1134642267 | Kelly Glen Sullivan | Durable Medical Equipment & Medical Supplies | 3345 Seajay Dr, Beavercreek, OH 45430-1365 | 2017-07-20 |
| 1396197521 | Kelly Sullivan | Speech-Language Pathologist | 82 Ridgecrest Dr, Pittsburgh, PA 15235-4548 | 2016-07-12 |
| 1548657851 | Kelly Sullivan | Speech-Language Pathologist | 1021 Wind River Pkwy, Morrisville, NC 27560-8233 | 2015-04-24 |
| 1568867877 | Kelly Sullivan | Speech-Language Pathologist | 14105 Snow Rd, Brookpark, OH 44142-2557 | 2014-10-29 |
| 1053713024 | Kelly Goodrich Sullivan | Physical Therapist | 2035 Gayle Pl, Clearwater, FL 33763-4217 | 2014-09-22 |
| 1730595752 | Kelly Sullivan | Registered Nurse | 8 Jacqueline Ct, Port Jefferson Station, NY 11776-3117 | 2014-07-10 |
| 1467610998 | Kelly G Sullivan | Social Worker | 321 Burncoat St, Worcester, MA 01606-3141 | 2008-05-30 |
| Street Address |
273 POWELL CIR |
| City | BERLIN |
| State | MD |
| Zip Code | 21811-1185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366912909 | Kathleen Cathell | Speech-Language Pathologist | 11187 Racetrack Rd, Berlin, MD 21811 | 2018-11-27 |
| 1033613336 | Kimberly Rose Richardson | Registered Nurse | Atlantic General Hospital, 9733 Healthway Dr, Berlin, MD 21811 | 2018-03-21 |
| 1780108514 | Jayme Sroka Mahoney | Marriage & Family Therapist | 124 N. Main St. Ste. C, Berlin, MD 21811 | 2017-08-02 |
| 1013332543 | Ray Charles Lockamy Jr. | Behavior Technician | 10514 Racetrack Rd Ste G, Berlin, MD 21811 | 2014-02-20 |
| 1972845121 | Timothy Pearson | Dermatology | 9948 N. Main St., Berlin, MD 21811 | 2013-03-25 |
| 1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
| 1902185697 | Lee Ahlstrom | Pharmacist | 11307 Manklin Creek Rd, Berlin, MD 21811 | 2011-08-11 |
| 1780987677 | Worcester County Health Department | Public Health or Welfare | 107 Williams Street, Worcester County Health Department Dental Center, Berlin, MD 21811 | 2010-12-15 |
| 1942511563 | Corey Lee Smith | Dentist | 11204 Racetrack Rd Ste 102, Berlin, MD 21811 | 2010-06-29 |
| 1255656062 | Sarah Mae Brown | Pharmacist | Apple Discount Drugs 314 Franklin Avenue, Berlin, MD 21811 | 2010-04-05 |
| Find all providers in zip 21811 | ||||
| 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 |
|---|---|---|---|---|
| 1376063420 | Brenna Lauren Shockley Mills | Assistant Behavior Analyst | 10514 Racetrack Rd Ste G, Berlin, MD 21811-3241 | 2017-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353332 | Hybridge Learning Group Md LLC | Assistant Behavior Analyst | 210 W Pennsylvania Ave Ste 100, Towson, MD 21204-4507 | 2020-07-06 |
| 1184186389 | Donavan T Weston | Assistant Behavior Analyst | 1312 Brixton Rd, Baltimore, MD 21239-1220 | 2019-04-05 |
| 1841750098 | Learning Outside The Lines, LLC | Assistant Behavior Analyst | 164 Alymer Ct, Westminster, MD 21157-6361 | 2019-03-23 |
| 1891250361 | Soaring Stars Therapy & Learning Center Inc | Assistant Behavior Analyst | 10440 Shaker Dr Ste 106, Columbia, MD 21046-2341 | 2019-02-08 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.