JESSICA MARIE SULLIVAN (NPI# 1205321775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205321775 |
| Entity Type | Individual |
| Full Name | JESSICA MARIE SULLIVAN |
| Practice Address |
28 Laurel Rd Milton MA 02186-1522 |
| Practice Telephone | 8578916586 |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2018-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497380778 | Jessica Sullivan | Nurse Practitioner | 2024 Willow Pond Way, Grafton, WI 53024-9101 | 2020-03-07 |
| 1114567351 | Jessica Sullivan | Licensed Practical Nurse | 4854 Dragoo Rd, Nashport, OH 43830-9613 | 2020-01-15 |
| 1245731280 | Jessica Sullivan | Physical Therapist | 106 Tonkin St, Beaverton, MI 48612-8116 | 2018-02-26 |
| 1508265737 | Jessica Page Sullivan | Nurse Practitioner | 10 W Madison St Ste 11, Baltimore, MD 21201 | 2014-08-13 |
| 1700217502 | Jessica Sullivan | Speech-Language Pathologist | 435 S Sunset Dr, El Centro, CA 92243-5553 | 2013-12-03 |
| 1699108944 | Jessica Nicole Sullivan | Occupational Therapist | 210 S County Road 675 W, North Vernon, IN 47265-7536 | 2013-08-09 |
| 1396085304 | Jessica C Sullivan | Social Worker | 360 State Route 17m, Suite 4, Monroe, NY 10950-3443 | 2013-02-28 |
| 1285994160 | Jessica Rea Sullivan | Social Worker | 15 Belcher St, Sharon, MA 02067-1305 | 2012-05-24 |
| 1336448984 | Jessica Marie Sullivan | Counselor | 6497 Parkland Dr Ste 103d, Sarasota, FL 34243-4097 | 2011-03-22 |
| 1063664134 | Jessica Lynn Sullivan | Physical Therapist | 7 Locust Dr, Greenwood Lake, NY 10925-2728 | 2008-10-21 |
| Street Address |
28 LAUREL RD |
| City | MILTON |
| State | MA |
| Zip Code | 02186-1522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972072296 | Diane M Ferrari | Social Worker | Milton Residents Fund, 535 Canton Ave., Milton, MA 02186 | 2018-11-15 |
| 1013407626 | Cornelius F. Kiley | Psychologist | 414 Adams Street, Milton, MA 02186 | 2018-05-18 |
| 1962929323 | Blake O'donnell | Social Worker | 597 Randolph Ave, Milton, MA 02186 | 2017-08-27 |
| 1144679564 | Milton Hc Operating LLC | Skilled Nursing Facility | 1200 Brush Hill Road, Milton, MA 02186 | 2016-06-07 |
| 1407096928 | Deborah Lavennia Milton | Counselor | 394 Truman Highway, Milton, MA 02186 | 2009-02-24 |
| 1497940548 | Susan Taylor | Psychologist | 1164 Truman Hwy, Milton, MA 02186 | 2007-09-12 |
| 1023137296 | Dolores Ann Shea | Counselor | 51 Bartons Lane, Milton, MA 02186 | 2007-03-28 |
| 1215052360 | Ilene Cloutier | Occupational Therapy Assistant | 1200 Brushhill Rd, Milton, MA 02186 | 2007-03-20 |
| 1730216151 | David Joseph Purcell | Emergency Medicine | 92 Higland St, Milton Hospital, Milton, MA 02186 | 2007-02-27 |
| 1619035250 | Gregg Raymond Melfi | Dentist | 480 Adams Street, Suite 104, Milton, MA 02186 | 2006-12-05 |
| Find all providers in zip 02186 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| 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 |
|---|---|---|---|---|
| 1073123295 | Clodagh Walsh | Behavior Technician | 42 Meredith Cir, Milton, MA 02186-3916 | 2020-08-03 |
| 1043840093 | Noah Isaiah Melendez | Behavior Technician | 6479 Caroline St Ste A, Milton, FL 32570-4590 | 2020-01-17 |
| 1851938708 | Bria Denise Rice | Behavior Technician | 2815 Queens Way Bldg 15, Milton, WA 98354-9038 | 2019-12-10 |
| 1902365604 | Megan Lasure | Behavior Technician | 5950 Berryhill Medical Park Dr Ste B, Milton, FL 32570 | 2019-03-13 |
| 1528539780 | Daniel Sherman Pendrak | Behavior Technician | 5330 Berryhill Rd, Milton, FL 32570-8015 | 2018-12-16 |
| 1336619527 | Jessica Jewett | Behavior Technician | 5950 Berryhill Rd Ste B, Milton, FL 32570-4009 | 2018-11-29 |
| 1780191056 | Stephanie Joseph | Behavior Technician | 78 Blue Hill Ave, Milton, MA 02186-1108 | 2018-01-08 |
| 1679085229 | Marley Carius | Behavior Technician | 82 Brush Hill Rd, Milton, MA 02186-1113 | 2017-11-03 |
| 1710599899 | Shelby Elaine Bubien | Behavior Technician | 6810 Fort Jackson Ct, Milton, FL 32583-7692 | 2020-08-19 |
| 1477178945 | Lela Grace Simmons | Behavior Technician | 6479 Caroline St Ste A, Milton, FL 32570-4590 | 2020-06-10 |
| Find all providers in MILTON | ||||
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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.