Active NPI
Serve Inspire Build Uplift Therapy LLC
- Behavior Analyst
- Hollister, CA
National Provider Identifier
1124949110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Legal business name
- SERVE INSPIRE BUILD UPLIFT THERAPY LLC
- Practice address
- 590 Tanoak St
Hollister, CA 95023-3129 - Phone
- (916) 600-1529
- NPI assigned
- Jul 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Michael Marshall-Sullivan
- Title
- Coo
- Phone
- (916) 600-1529
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
590 Tanoak St
Hollister, CA 95023-3129
Mailing address
590 Tanoak St
Hollister, CA 95023-3129
Other names 1
- SIBU Therapy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788307200000",
"number": "1124949110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 TANOAK ST",
"city": "HOLLISTER",
"state": "CA",
"postal_code": "950233129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 TANOAK ST",
"city": "HOLLISTER",
"state": "CA",
"postal_code": "950233129",
"telephone_number": "916-600-1529"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERVE INSPIRE BUILD UPLIFT THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-24",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A",
"authorized_official_last_name": "MARSHALL-SULLIVAN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "916-600-1529"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SIBU Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hollister, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.