Active NPI
Emily Ricker Sullivan, M ED., BCBA
- Behavior Analyst
- West Hartford, CT
National Provider Identifier
1033381660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-12-12669
- Practice address
- 85 Wardwell Rd
West Hartford, CT 06107-3003 - Phone
- (781) 308-0829
- NPI assigned
- Mar 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-12-12669 | CT | Primary |
Addresses
Primary practice location
85 Wardwell Rd
West Hartford, CT 06107-3003
Mailing address
85 Wardwell Rd
West Hartford, CT 06107-3003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352073600000",
"number": "1033381660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 WARDWELL RD",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061073003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 WARDWELL RD",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061073003",
"telephone_number": "781-308-0829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULLIVAN",
"first_name": "EMILY",
"middle_name": "RICKER",
"name_prefix": "Mrs.",
"credential": "M ED., BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-24",
"last_updated": "2012-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "1-12-12669",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.