CRYSTAL SULLIVAN (NPI# 1417494121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417494121 |
| Entity Type | Individual |
| Full Name | CRYSTAL SULLIVAN |
| Practice Address |
5410 Transportation Blvd Garfield Hts OH 44125-5380 |
| Practice Telephone | 2166636100 |
| Practice Fax Number | 2166637113 |
| Mailing Telephone | 2166636100 |
| Mailing Fax Number | 2166637113 |
| Enumeration Date | 2017-01-20 |
| Last Update Date | 2017-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst | PN-161212 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326507559 | Crystal Lynn Sullivan | Licensed Practical Nurse | 1446 Nw Catawba Rd, Port Clinton, OH 43452-2820 | 2019-03-18 |
| 1033752530 | Crystal Jean Sullivan | Nurse Practitioner | 2500 Fairway St, Dickinson, ND 58601-2639 | 2019-10-28 |
| 1972815447 | Crystal Noel Sullivan | Counselor | 1015 S Broadway, Suite 18, Minot, ND 58701-4667 | 2010-07-13 |
| 1477864502 | Crystal Sullivan | Family Medicine | 3400 W Truman Blvd, Jefferson City, MO 65109-5712 | 2010-06-23 |
| 1124256771 | Crystal F Sullivan | Physician Assistant | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2009-06-22 |
| 1922132893 | Crystal Ladawn Sullivan | Case Manager/Care Coordinator | 4400 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2007-03-15 |
| Street Address |
5410 TRANSPORTATION BLVD |
| City | GARFIELD HTS |
| State | OH |
| Zip Code | 44125-5380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871031922 | Signature Health Inc. | Clinic/Center | 5410 Transportation Blvd, Garfield Hts, OH 44125-5380 | 2017-02-09 |
| 1598203648 | Signature Health Inc. | Clinic/Center | 5410 Transportation Blvd, Garfield Hts, OH 44125-5380 | 2017-02-09 |
| 1750826947 | Joseph Crowell Jr. | Licensed Practical Nurse | 5410 Transportation Blvd, Suite 4, Garfield Hts, OH 44125-5380 | 2016-12-27 |
| 1528517976 | Deanna J Cochran | Licensed Practical Nurse | 5410 Transportation Blvd, Suite # 4, Garfield Hts, OH 44125-5380 | 2016-09-27 |
| 1861941304 | Christina Penko | Pharmacist | 5410 Transportation Blvd, Suite 4, Garfield Hts, OH 44125-5380 | 2016-09-26 |
| 1770940983 | Michelle Mcclure | Counselor | 5410 Transportation Blvd, Garfield Hts, OH 44125-5380 | 2016-01-19 |
| 1861885790 | Patricia Marie Janis | Counselor | 5410 Transportation Blvd, Garfield Hts, OH 44125-5380 | 2015-03-17 |
| 1497157234 | Mary Colini | Licensed Practical Nurse | 5410 Transportation Blvd, Suite 4, Garfield Hts, OH 44125-5380 | 2014-09-24 |
| 1356518088 | Deborah Lynn Brewster | Psychiatry & Neurology | 5410 Transportation Blvd, Garfield Hts, OH 44125-5380 | 2008-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245852268 | Rosemary B. Field | Registered Nurse | 12500 Mccracken Rd, Garfield Heights, OH 44125 | 2020-05-13 |
| 1720639040 | Unique Jones | Technician | 8137 Reed Ave, Garfield Hts, OH 44125 | 2019-09-27 |
| 1215404736 | Lauren Deniese Taylor | Nurse Practitioner | Marymount Hospital, 12300 Mccracken Road, Garfield Heights, OH 44125 | 2018-11-02 |
| 1023599925 | Fresenius Medical Care Garfield Heights Home, LLC | Clinic/Center | 9729 Granger Rd, Garfield Heights, OH 44125 | 2018-08-28 |
| 1306326939 | John Paul Allison | Nurse Practitioner | 12300 Mckraken Road, Garfield Heights, OH 44125 | 2018-08-14 |
| 1629573944 | Chelsee Christine Williams | Case Manager/Care Coordinator | 12395 Mccraken Rd Suite A, Garfield Heights, OH 44125 | 2018-03-28 |
| 1730605908 | Shauntae Patterson | Home Health | 8133 Garfield Blvd Upstairs, Garfield Heights, OH 44125 | 2017-08-18 |
| 1134643398 | Velma Charis George | Licensed Practical Nurse | 11414 Mccracken Road, Garfield Hts, OH 44125 | 2017-07-31 |
| 1528591450 | Joanne Biltz Biltz | Speech-Language Pathologist | 12801 Bangor, Garfield Heights, OH 44125 | 2017-04-07 |
| 1235670340 | Mike Johanek | Pharmacist | 8333 Rockside Road, Valley View, OH 44125 | 2017-03-09 |
| Find all providers in zip 44125 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| 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 |
|---|---|---|---|---|
| 1740899038 | Diana Elaine Hafely | Assistant Behavior Analyst | 1704 North Rd Se Ste 2, Warren, OH 44484-2958 | 2020-07-23 |
| 1356964365 | Benjamin Arthur | Assistant Behavior Analyst | 2100 Stella Ct # 221, Columbus, OH 43215-1011 | 2020-05-26 |
| 1447882964 | Christopher Davis | Assistant Behavior Analyst | 4015 W Dublin Granville Rd, Dublin, OH 43017-1436 | 2020-02-12 |
| 1629569538 | Patterns Behavioral Services Ohio Inc | Assistant Behavior Analyst | 100 7th Ave Ste 224, Chardon, OH 44024-7804 | 2018-05-25 |
| 1891298428 | Warrie Ann Mckinney | Assistant Behavior Analyst | 2050 Commons Rd N, Reynoldsburg, OH 43068-5417 | 2018-03-09 |
| 1043710544 | Eileen Anderson | Assistant Behavior Analyst | 830 Cherry Ave Ne, Canton, OH 44702-1089 | 2018-02-20 |
| 1821508201 | Beth Ann Marie Hill | Assistant Behavior Analyst | 100 N Broad St Ste 305, Fairborn, OH 45324-4804 | 2017-10-11 |
| 1780125187 | Raegan Firestone | Assistant Behavior Analyst | 11910 Marcy Rd, Canal Winchester, OH 43110-9755 | 2017-03-17 |
| 1508479981 | Jessica Greer | Assistant Behavior Analyst | 1033 Larchwood Rd, Mansfield, OH 44907-2424 | 2020-08-26 |
| 1518582600 | Rosemary Louise Anderson | Assistant Behavior Analyst | 2100 Stella Ct # 221, Columbus, OH 43215-1011 | 2020-06-15 |
| Find all providers with the same taxonomy | ||||
| City | GARFIELD HTS |
| Zip Code | 44125 |
Please comment or provide details below to improve the information on CRYSTAL SULLIVAN.
| 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.