Meagan Sullivan, M.ED., BCBA, LBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-41371 Issued in AZ

Practice address

2487 S Gilbert Rd Ste 106-153
Gilbert, AZ 85295-8899

Phone

(480) 744-5286

Fax

(480) 675-4538

NPI assigned

Jan 11, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aspen Behavioral Consulting, PLLC

  • Behavior Analyst
  • Gilbert, AZ
  • NPI 1558878934
  NPD
• Phoenix Autism Center, LLC

  • Behavior Analyst
  • Phoenix, AZ
  • NPI 1922718683
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1003324104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 E MUIRWOOD DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487639",
            "telephone_number": "480-610-6981",
            "fax_number": "480-898-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2487 S GILBERT RD STE 106-153",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958899",
            "telephone_number": "480-744-5286",
            "fax_number": "480-675-4538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 E McDowell Rd Ste 175",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850087725",
            "country_code": "US",
            "telephone_number": "763-807-8067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MEAGAN",
        "credential": "M.ED., BCBA, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-11",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "1-20-41371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Suliot
• Crystal Sulit, LCSW
• Jamie Sullivan
• Laura T Sullivan, DPT
• Mary L. Sullivan, RPH
• Rhiannon Elizabeth Sullivan
• Sheldon Lynn Sullivan, DDS
• Sultan Y Ayoub FNP PLLC
• Tracy Ann Sulzer
• Shana Sumers

• Behavior Analyst in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.