Gabrielle Sullivan

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-18-58539 Issued in TX

Practice address

5209 Duval Rd
Austin, TX 78727-6614

Phone

(512) 250-5700

NPI assigned

Nov 14, 2019

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

Electronic endpoints 1

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.

• The William Mosing Center

  • Community/Behavioral Health Agency
  • Austin, TX
  • NPI 1982982682
  NPD (past)

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1386289346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 DUVAL RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276614",
            "telephone_number": "512-250-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 DUVAL RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276614",
            "telephone_number": "512-250-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "GABRIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "TX",
            "license": "RBT-18-58539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gabby@williammosingcenter.org",
            "affiliation": "N",
            "address_1": "5209 DuVal Rd",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787276614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anna Nicole Powell Sullivan, PA-C
• Arthur Lee Sullivan, FNP
• Brian L Sullivan, M.D.
• Carolyn Linnette Sullivan, LPC LCDC LICENSED CO
• Catherine Elizabeth Sullivan, LPC
• Julie Sullivan
• Kimberlee Dawn Sullivan, DPT
• Ryan Christopher Sullivan, LCSW
• Shannon Moira Sullivan, RD
• Catherine Hughes Sult, LMFT-ASSOCIATE

• Behavior Technician in Austin, TX
• Providers in Austin, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.