Kieran Sullivan, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-23-254604 Issued in IN

Practice address

618 N High School Rd Ste a
Indianapolis, IN 46214-3697

Phone

(317) 731-7777

NPI assigned

Aug 5, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mackenzie Sullivan Former name

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.

• Behaviorworks LLC

  dba Behaviorworks ABA

  • Behavior Analyst
  • Indianapolis, IN
  • NPI 1336556661
  NPD (past)

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1750265369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 N HIGH SCHOOL RD STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462143697",
            "telephone_number": "317-731-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 N HIGH SCHOOL RD STE A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462143697",
            "telephone_number": "317-731-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "KIERAN",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": "RBT-23-254604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZIE",
            "last_name": "SULLIVAN",
            "credential": "RBT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Abigail Jade Sullivan
• Amber Sullivan
• Bridget Lynnette Sullivan, CTRS
• Catherine H Sullivan, LCSW, LCAC
• Elaine Sullivan
• Linda L Sullivan
• Lindsey Lee Sullivan, MPO,CO,BEP
• Meghan Sullivan, LMHC
• Paula A Sullivan, PHD
• Ryan Michael Sullivan

• Behavior Technician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Behavior Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.