Daniel J Sullivan, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-18-31961 Issued in NY

Practice address

15 E 40TH St
New York, NY 10016-0401

Phone

(212) 235-5043

NPI assigned

Nov 16, 2018

Last updated

Nov 16, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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.

• Behavior Effects Applied Behavior Analysis Services PLLC

  • Behavior Analyst
  • New York, NY
  • NPI 1053266015
  NPD Authorized official

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

{
    "created_epoch": "1542326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1831668193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 POST AVE APT 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100344756",
            "telephone_number": "347-928-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E 40TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160401",
            "telephone_number": "212-235-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-18-31961",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "1-18-31961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Sullivan, MS CCC-SLP
• Ciara Sullivan, MSW
• Colleen Murphy Sullivan
• Courtney Sullivan, M.S., RRA, RT(R), RD
• Courtney Louise Sullivan
• Daniel J Sullivan, PT
• Danielle Sullivan, OTR/L
• David Charles Anthony Sullivan, MD, MPH
• David J Sullivan, DDS
• Deborah Anne Sullivan, NPP

• Behavior Analyst in New York, NY
• Providers in New York, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.