TIMOTHY COLEMAN SULLIVAN (NPI# 1306110176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306110176 |
| Entity Type | Individual |
| Full Name | TIMOTHY COLEMAN SULLIVAN |
| Credential | M.ED., BCBA |
| Practice Address |
7291 Garden Grove Blvd Suite F Garden Grove CA 92841-4211 |
| Mailing Address |
205 David Dr Unit A Newport Beach CA 92663-1767 |
| Practice Telephone | 9499391051 |
| Mailing Telephone | 7743130981 |
| Enumeration Date | 2012-02-26 |
| Last Update Date | 2012-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-11-9321 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063024792 | Timothy Sullivan | Specialist/Technologist | 601 E Elm St Apt 1203, Troy, AL 36081-3498 | 2020-08-24 |
| 1215585112 | Timothy Sullivan II | Massage Therapist | 318 E Maiden St, Washington, PA 15301-5108 | 2019-09-04 |
| 1972954675 | Timothy Sullivan | Technician/Technologist | 38 Thatcher St, Rumford, RI 02916-2714 | 2016-06-24 |
| 1982019840 | Timothy Paul Sullivan | Chiropractor | 17000 E Us Highway 40 Ste 7, Independence, MO 64055-5394 | 2014-06-30 |
| 1235452343 | Timothy Sullivan | Pharmacist | 336 Route 202, Somers, NY 10589-3220 | 2010-03-03 |
| 1619152915 | Timothy Mark Sullivan | Physician Assistant | 9951 E El Moro Ave, Mesa, AZ 85208-5869 | 2008-01-04 |
| 1396819215 | Timothy P Sullivan | Dentist | 370 W Terra Cotta Ave, Crystal Lake, IL 60014-3512 | 2006-11-20 |
| 1154408011 | Timothy Patrick Sullivan | Otolaryngology | 19 N Rivers Edge Dr, Little Silver, NJ 07739-1710 | 2006-10-31 |
| 1881786226 | Timothy Joseph Sullivan | Pediatrics | 92 New London Tpke, Norwich, CT 06360 | 2006-09-29 |
| 1679559488 | Timothy E Sullivan | Chiropractor | 6101 Windcom Ct, Suite 300, Plano, TX 75093-7817 | 2005-12-22 |
| Street Address |
7291 GARDEN GROVE BLVD SUITE F |
| City | GARDEN GROVE |
| State | CA |
| Zip Code | 92841-4211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528332665 | Stephen Stickler | Psychologist | 7291 Garden Grove Blvd, Suite F, Garden Grove, CA 92841-4211 | 2012-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174179980 | Erica R Jackson | Technician | 11355 Desmond St, Garden Grove, CA 92841 | 2019-08-16 |
| 1184107500 | Tat Pharmacy, Inc | Pharmacy | 9153 Garden Grove Blvd., Garden Grove, CA 92841 | 2018-09-11 |
| 1083119002 | Hoang Dmd Dental Inc. | Dentist | 9639 Chapman Ave, Garden Grove, CA 92841 | 2018-03-30 |
| 1699282434 | Rubi Esmeralda Tapia | Social Worker | 7441 Lincoln Way Ste 250, Garden Grove, CA 92841 | 2018-01-02 |
| 1144739830 | Bryan Nguyen | Spec/Tech, Health Info | 9862 Chapman Ave., Ste. B, Garden Grove, CA 92841 | 2017-09-25 |
| 1649796111 | Jesus Torres | Case Manager/Care Coordinator | 9862 Chapman Ave Suite B, Garden Grove, CA 92841 | 2017-08-16 |
| 1477005312 | Naincee Tolani | Occupational Therapist | 12881 Knott Street, Suite 103, Garden Grove, CA 92841 | 2016-10-26 |
| 1114385838 | Quyen Do | Case Manager/Care Coordinator | 9862 Chapman Ave, Ste. B, Garden Grove, CA 92841 | 2016-02-09 |
| 1629331657 | Superior Medical Management, LLC | Clinic/Center | 9862 Lemore Drive, Garden Grove, CA 92841 | 2012-06-25 |
| 1376818344 | Meghan Lyyn-deibert Pickens | Behavioral Analyst | 7291 Garden Grove Blvd. Suite F, Garden Grove, CA 92841 | 2012-03-09 |
| Find all providers in zip 92841 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588283808 | Kimberly Gaeta | Behavioral Analyst | 123935 Lewis Street, Ste 202, Garden Grove, CA 92840 | 2020-04-16 |
| 1962064998 | The Autism Collaborative Group | Behavioral Analyst | 12792 Valley View St Ste 201, Garden Grove, CA 92845-2510 | 2019-06-29 |
| 1275093361 | Gina Westmoreland | Behavioral Analyst | 12630 Brookhurst St Ste D, Garden Grove, CA 92840-4800 | 2019-03-23 |
| 1356825624 | Pheakdey Soch | Behavioral Analyst | 12322 Manley St, Garden Grove, CA 92845-1940 | 2018-09-21 |
| 1154838712 | Dana Dang | Behavioral Analyst | 12395 Lewis St Ste 202, Garden Grove, CA 92840-4694 | 2018-01-04 |
| 1467969436 | Amy Cardona | Behavioral Analyst | 8102 Bestel Ave, Garden Grove, CA 92844-1712 | 2017-12-29 |
| 1720458920 | Alfredo Montiel | Behavioral Analyst | 12395 Lewis St, Suite 202, Garden Grove, CA 92840-6600 | 2015-09-30 |
| 1821336843 | Nahal Kashani Hosseinzadeh | Behavioral Analyst | 12399 Lewis St Ste 202, Garden Grove, CA 92840-4697 | 2013-01-25 |
| 1821332461 | Khang Nguyen | Behavioral Analyst | 12682 Pleasant Pl, Garden Grove, CA 92841-4939 | 2012-11-20 |
| 1306101456 | Steve John Perez | Behavioral Analyst | 13100 Gilbert St, Unit 39, Garden Grove, CA 92844-2156 | 2012-07-05 |
| Find all providers in GARDEN GROVE | ||||
| City | GARDEN GROVE |
| Zip Code | 92841 |
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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.