Keshtisha Sunde

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

PSY-BA-LIC-3188 Issued in MT

Practice address

1039 Stoneridge Dr Ste 5
Bozeman, MT 59718-7056

Phone

(406) 624-6599

NPI assigned

Dec 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hyalite ABA, LLC

  • Behavior Analyst
  • Bozeman, MT
  • NPI 1750966446
  NPD Authorized official
• Hyalite Pediatric Therapy, LLC

  • Behavior Analyst
  • Belgrade, MT
  • NPI 1306419452
  NPD Authorized official
• Peach Tree Academy

  • Behavior Analyst
  • Billings, MT
  • NPI 1063924330
  NPD (past)

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1194364992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1039 STONERIDGE DR STE 5",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187056",
            "telephone_number": "406-624-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 STONERIDGE DR STE 5",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597187056",
            "telephone_number": "406-624-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDE",
        "first_name": "KESHTISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-27",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MT",
            "license": "18-65321",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "MT",
            "license": "PSY-BA-LIC-3188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Mascolo Sullivan, M.A. CCCSLP
• Kaitlyn Sullivan, RPH
• Timothy Brian Sullivan, MD
• Summit Podiatry PLLC
• Diane Renee Sumter, OTRL
• Peter Scott Sunden, RN
• Sundrop Wellness
• Sunset Journey Therapeutic Services PLLC
• Surgical Associates of Bozeman, PC
• Susanna Turner Aprn PLLC

• Behavior Analyst in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Behavior Analyst in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; 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.