Active NPIIndividual provider

Shakeira Sullivan

Behavior Technician in Egg Harbor Township, New Jersey

NPI Number1023963196
Practice location
407 Glenn Ave, Egg Harbor Township, NJ 08234-6109
Fax
—
Last updated
March 3, 2026

Shakeira Sullivan is a Behavior Technician based in Egg Harbor Township, NJ. Shakeira Sullivan practices in Egg Harbor Township, NJ. The NPI Number for Shakeira Sullivan is 1023963196 and holds a License No. 106S00000X (NJ). The current practice location address for Shakeira Sullivan is 407 Glenn Ave, Egg Harbor Township, NJ 08234-6109 and can be reached out via phone at 877-504-4141.

Provider Profile Details

NPI Number
1023963196
Provider Name
Shakeira Sullivan
Provider Entity Type
Individual
Gender
Female
Address
407 Glenn Ave, Egg Harbor Township, NJ 08234-6109
Phone Number
877-504-4141
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
No
Provider Enumeration Date
March 3, 2026
Last Update Date
March 3, 2026
Certification Date
March 3, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
407 Glenn Ave
Egg Harbor Township, NJ 08234-6109
Zip
08234-6109
Phone Number
877-504-4141
Egg Harbor Township, NJ 08234Get directions →

Provider Business Mailing Address Details

Address
1334 Drexel Ave
Atlantic City, NJ 08401-3203
City
Atlantic City
State
NJ
Zip
08401-3203
Phone Number
619-373-5034

License Information

License Number
106S00000X
License State
NJ
Taxonomy
Behavior Technician · 106S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shakeira Sullivan?

The NPI number of Shakeira Sullivan is 1023963196. It was assigned on March 3, 2026 and is currently active in the NPPES registry.

What is the specialty of Shakeira Sullivan?

Shakeira Sullivan is registered under the primary taxonomy Behavior Technician (code 106S00000X), licensed in NJ under license number 106S00000X.

Where does Shakeira Sullivan practice?

The practice location is 407 Glenn Ave, Egg Harbor Township, NJ 08234-6109. The office can be reached at 877-504-4141 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023963196 directly on the NPPES registry website.

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