Active NPIIndividual provider

Miss Sydney Sullivan, BCBA

Behavior Analyst in East Brookfield, Massachusetts

NPI Number1821562455
Practice location
103 Mechanic St, East Brookfield, MA 01515-9800
Fax
—
Last updated
July 9, 2023

Sydney Sullivan is a Behavior Analyst based in East Brookfield, MA. Sydney Sullivan practices in East Brookfield, MA and has the professional credentials of BCBA. The NPI Number for Sydney Sullivan is 1821562455 and holds a License No. 1-20-44781 (MA). The current practice location address for Sydney Sullivan is 103 Mechanic St, East Brookfield, MA 01515-9800 and can be reached out via phone at 413-459-9565.

Provider Profile Details

NPI Number
1821562455
Provider Name
Sydney Sullivan
Credential
BCBA
Provider Entity Type
Individual
Gender
Female
Address
103 Mechanic St, East Brookfield, MA 01515-9800
Phone Number
413-459-9565
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
January 16, 2019
Last Update Date
July 9, 2023
Certification Date
July 9, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
103 Mechanic St
East Brookfield, MA 01515-9800
Zip
01515-9800
Phone Number
413-459-9565
East Brookfield, MA 01515Get directions →

Provider Business Mailing Address Details

Address
103 Mechanic St
East Brookfield, MA 01515-9800
City
East Brookfield
State
MA
Zip
01515-9800
Phone Number
413-459-9565

License Information

Taxonomy (1)
Developmental Therapist · 222Q00000X
License Number (2)
1-20-44781
License State (2)
MA
Taxonomy (2)
Behavior Analyst · 103K00000X · 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 Miss Sydney Sullivan, BCBA?

The NPI number of Miss Sydney Sullivan, BCBA is 1821562455. It was assigned on January 16, 2019 and is currently active in the NPPES registry.

What is the specialty of Miss Sydney Sullivan, BCBA?

Miss Sydney Sullivan, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in MA under license number 1-20-44781.

Where does Miss Sydney Sullivan, BCBA practice?

The practice location is 103 Mechanic St, East Brookfield, MA 01515-9800. The office can be reached at 413-459-9565 (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 1821562455 directly on the NPPES registry website.

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