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CAROLYN NICOLE SULLIVAN NPI 1730731506


NPI Information

NPI: 1730731506
Provider Name: CAROLYN NICOLE SULLIVAN
Classification: Behavior Analyst - 103K00000X
Entity Type: Individual
Address:
341 TRINITY ST
MALVERNE, NY
ZIP 11565
Phone: (631) 624-3256
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Carolyn Nicole Sullivan is a behavior analyst in Malverne, NY. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. Carolyn Nicole Sullivan NPI is 1730731506. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

341 TRINITY ST
MALVERNE, NY
ZIP 11565-234
Phone: (631) 624-3256

The enumeration date for this NPI number is 7/11/2019 and was last updated on 1/5/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior Analyst001501NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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