Dominique Lamere Sullivan

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2284 S Ballenger Hwy
Flint, MI 48503-3446

Phone

(810) 221-7871

NPI assigned

Aug 3, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1811475585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6342 STONEGATE PKWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485322152",
            "telephone_number": "810-399-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2284 S BALLENGER HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485033446",
            "telephone_number": "810-221-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "DOMINIQUE",
        "middle_name": "LAMERE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tess Suchek, BSN, RN, IBCLC
• Anup Sud, MD
• Parul Sud, MD
• Neita Sudberry, RN
• Jana Sullivan Weiss
• Rachel Sullivant, D.C.
• Nusrat Sultana
• Sumer Pediatrics
• Nilufer K Sumer, MD
• Timur Sumer, M.D.

• Behavior Technician in Flint, MI
• Providers in Flint, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; 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.