STEPHEN SULLIVAN (NPI# 1790391928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790391928 |
| Entity Type | Individual |
| Full Name | STEPHEN SULLIVAN |
| Practice Address |
4526 Federal Ave Everett WA 98203-2132 |
| Mailing Address |
7110 63rd Pl Ne Marysville WA 98270-8938 |
| Practice Telephone | 4253496200 |
| Mailing Telephone | 2067477790 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467006056 | Stephen Clinton Sullivan | Music Therapist | 2657 1st Ave E, North Saint Paul, MN 55109-3304 | 2019-07-31 |
| 1639406283 | Stephen Sullivan | Specialist | 65 Orchard Ave, Middletown, RI 02842-5842 | 2009-11-03 |
| 1447373048 | Stephen Adams Sullivan | Dentist | 1218 W. Hwy. 11, Whitewright, TX 75491-0788 | 2007-04-09 |
| 1780754556 | Stephen Joseph Sullivan Jr. | Chiropractor | 4432 E Bristol Rd, Trevose, PA 19053-4758 | 2006-11-09 |
| 1154412906 | Stephen R Sullivan | Plastic Surgery | 300 Mount Auburn St Ste 304, Cambridge, MA 02138-5665 | 2006-09-27 |
| 1083714125 | Stephen E. Sullivan IIi | Dentist | 160 Cracker Barrel Dr, Batesville, MS 38606-3031 | 2006-09-25 |
| 1376641779 | Stephen Gene Sullivan | Psychiatry & Neurology | 533 East 13th Street, Apt Ga, New York, NY 10009 | 2006-09-20 |
| 1164956421 | Stephen John Sullivan Jr. | Pharmacist | 5955 Zeamer Ave # 673mdg, Jber, AK 99506-3702 | 2017-04-13 |
| 1891738597 | Stephen P Sullivan | Psychiatry & Neurology | Nymc, Behavioral Health Center N312, Valhalla, NY 10595 | 2006-06-13 |
| 1033158530 | Stephen Sullivan | Neurological Surgery | 1500 East Medical Center Dr, 2nd Floor Taubman Ctr Recp G, Ann Arbor, MI 48109-5338 | 2006-06-06 |
| Street Address |
4526 FEDERAL AVE |
| City | EVERETT |
| State | WA |
| Zip Code | 98203-2132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053399923 | Kate Hume | Nurse Practitioner | 4526 Federal Ave, Everett, WA 98203-2132 | 2006-01-02 |
| 1447850581 | Latricia Annette Johnson | Registered Nurse | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-10-28 |
| 1073113320 | Carolyne Wambui Kiragu | Registered Nurse | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-10-27 |
| 1447859426 | Marko Kalaba | Licensed Practical Nurse | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-10-21 |
| 1053919068 | Laura L Hopf | Counselor | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-10-12 |
| 1821696154 | Dalia Belen Mendoza-sanchez | Registered Nurse | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-10-09 |
| 1962019208 | Madeline Nicole Schmitt | Student in an Organized Health Care Education/Training Program | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-09-30 |
| 1396352837 | Matthew Robert Brandt | Behavior Technician | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-09-29 |
| 1023625886 | Judith Effenberger | Peer Specialist | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-09-25 |
| 1295340750 | Natalie Maeda | Counselor | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-09-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226039 | Lisa Mcgregor | Counselor | Sea Mar Community Health Centers, 5007 Claremont Way, Everett, WA 98203 | 2020-08-20 |
| 1417572009 | Megan Ostermick-durkee | Student in an Organized Health Care Education/Training Program | Sunrise Services Inc., 811 Madison Street, Everett, WA 98203 | 2020-06-10 |
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1225505241 | Reverie Aurora Shunny | Counselor | Sunrise Service Inc., 811 Madison Street, Everett, WA 98203 | 2018-10-29 |
| 1205313483 | Kristina Renee Bylenga | Counselor | Compass Health 4526 Federal Avenue M/s # 11, Everett, WA 98203 | 2018-07-20 |
| 1306384300 | Shantijoy Inc | Naturopath | 5208 S 2nd Ave, Everett, WA 98203 | 2017-02-09 |
| 1922545276 | Ekaterina Malinovska Dds Pllc | Dentist | 5920 Evergreen Way Suite E, Everett, WA 98203 | 2017-01-25 |
| 1326404104 | Job Oichoe | Counselor | 4625 Federal Ave, Everett, WA 98203 | 2016-01-08 |
| 1427423292 | Ross Lee Voorhees | Counselor | 4423 S 3rd Ave, Everett, WA 98203 | 2015-12-04 |
| 1447642376 | Adam Schneider | Counselor | 4526 Federal Ave # 40, Everett, WA 98203 | 2015-03-02 |
| Find all providers in zip 98203 | ||||
| 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 |
|---|---|---|---|---|
| 1336792266 | Marisa Gil | Behavior Technician | 5 Shute St, Everett, MA 02149-1607 | 2019-07-19 |
| 1598317562 | Christel Adonis | Behavior Technician | 50 May St, Everett, MA 02149-1831 | 2019-07-10 |
| 1508429515 | Petrina Louis Alesy | Behavior Technician | 77 Lewis St, Everett, MA 02149-4405 | 2019-04-16 |
| 1346740859 | Evy Thi Tran | Behavior Technician | 58 Lynn St, Everett, MA 02149-4239 | 2018-02-20 |
| 1073028726 | Roudia Elysee | Behavior Technician | 122 Union St Apt 3, Everett, MA 02149-4801 | 2017-12-04 |
| 1619480290 | Brian Schell | Behavior Technician | 26 Hamilton St Apt 2r, Everett, MA 02149-5324 | 2017-11-06 |
| 1396271060 | Mustapha Jobe | Behavior Technician | 304 124th Pl Se, Everett, WA 98208-6406 | 2017-05-02 |
| 1326490525 | Victoria Bailey | Behavior Technician | 4526 Federal Ave # Ms -11, Everett, WA 98203-2132 | 2016-07-12 |
| 1396352837 | Matthew Robert Brandt | Behavior Technician | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-09-29 |
| 1386258911 | Tonya Renee Weddington | Behavior Technician | 4526 Federal Ave, Everett, WA 98203-2132 | 2020-09-01 |
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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.