LYDIA SULLIVAN


Address: 721 South Blvd, Suite 210, Oak Park, IL 60302-2982
Phone: 3124047225

LYDIA SULLIVAN (NPI# 1124579370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124579370
Entity Type Individual
Full Name LYDIA SULLIVAN
Practice Address 721 South Blvd
Suite 210
Oak Park
IL 60302-2982
Practice Telephone 3124047225
Mailing Telephone 3124047225
Enumeration Date 2016-10-21
Last Update Date 2016-10-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103K00000X Behavioral Analyst 11623077 IL Behavioral Health & Social Service Providers

Office Location

Street Address 721 SOUTH BLVD
SUITE 210
City OAK PARK
State IL
Zip Code 60302-2982

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306473244 Tasha Kimberly Young Counselor 1216 N Austin Bvld, Oak Park, IL 60302 2020-03-23
1306492186 Camiesa Rashida Rogers Pharmacy Technician 626 N Austin #7, Oak Park, IL 60302 2019-08-16
1326603887 Right Choice Therapy LLC Social Worker 428 S. Scoville Avenue, Rear 1b, Oak Park, IL 60302 2019-05-09
1407328941 Arundathi Bannur Suresh Occupational Therapist 3 Erie Court, West Suburban Medical Center, Oak Park, IL 60302 2018-12-21
1427537455 Shannon Vogel Occupational Therapist 405 Home Ave Apt 207, Oak Park, IL 60302 2018-08-10
1568958726 Loretto Hospital Clinic/Center 1000 Madison St, Oak Park, IL 60302 2018-07-10
1649783143 Mary Joyce Arenas Lagatao Nurse Practitioner 101 Madison St, 3rd Floor, Oak Park, IL 60302 2017-11-07
1427578251 Amanda Lam Behavior Technician 721 South Blvd., Suite 210, Oak Park, IL 60302 2017-06-22
1649790577 Samantha Lotti Acupuncturist 1119 Pleasant St, Oak Park, IL 60302 2017-06-21
1770010480 Robert Smith IIi Behavior Technician 412a S. Taylor Ave, Oak Park, IL 60302 2017-05-12
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Taxonomy Information

Taxonomy Code 103K00000X
Grouping Behavioral Health & Social Service Providers
Classification Behavioral Analyst

Taxonomy Definition

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.
Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710529045 Jane E. Decaire Behavioral Analyst 844 Mapleton Ave, Oak Park, IL 60302-1402 2019-10-08
1073086211 Miguel N Reyes Jr. Behavioral Analyst 6930 Roosevelt Rd., Oak Park, IL 60304 2019-01-10
1689198335 Courtney Kuchan Behavioral Analyst 721 South Blvd Ste 210, Oak Park, IL 60302-2982 2017-08-02
1831622083 Brian Morgan Behavioral Analyst 1180 Lyman Ave, Oak Park, IL 60304-2232 2017-04-05
1760927107 Saterae Terry Behavioral Analyst 320 Chicago Ave, Oak Park, IL 60302-2315 2016-12-20
1164975736 Nicholas Mercurio Behavioral Analyst 15420 Northgate Blvd, #102, Oak Park, MI 48237-1243 2016-07-29
1770943243 Jennifer Zosel Behavioral Analyst 43 South Blvd Apt 3s, Oak Park, IL 60302-2719 2016-02-26
1841660578 Chantele Williams Behavioral Analyst 25595 Briar Dr, Oak Park, MI 48237-1335 2015-10-07
1689059214 Jaime Elise Matas Behavioral Analyst 6930 Roosevelt Rd, Oak Park, IL 60304-1845 2015-07-24
1346638657 Mary Beth Western Behavioral Analyst 23046 Ithaca St, Oak Park, MI 48237-2213 2015-01-08
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Competitor

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City OAK PARK
Zip Code 60302

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Dataset Information

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.

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