Jessica Sullivan

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-23-65592 Issued in NC

Practice address

5493 Robmont Dr
Fayetteville, NC 28306-2674

Phone

(919) 538-3510

NPI assigned

Dec 28, 2021

Sex

Female

Sole proprietor

Yes

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

Practice roles

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

• The Sullivan ABA Clinic, LLC

  • Behavior Analyst
  • Fayetteville, NC
  • NPI 1255128716
  NPD Authorized official

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1326708645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5493 ROBMONT DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283062674",
            "telephone_number": "919-538-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5493 ROBMONT DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283062674",
            "telephone_number": "919-538-3510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7027 Old Madison Pike NW Ste 108",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358062369",
            "country_code": "US",
            "telephone_number": "910-849-1222",
            "fax_number": "910-748-5002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-28",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-23-65592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Deanna Suggs
• Katelyne Clara Sugrue-Kunz
• Eden Agustin Suguitan, M.D.
• Muhammad Sulaimain, DO
• David E Sullivan, LCSW
• Juliyahh Alexus Sullivan
• Nijah Sulton
• Summerhill
• Summers and Koonce Inc (John Allen Shoes)
• Chauntel Marie Summers, PHD

• Behavior Analyst in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Behavior Analyst in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.

Verify at the official NPI Registry.