Breanna Sullins
Individual provider Active NPI Behavior Analyst · Efland, NC
NPI 1992172118 · NPPES record last updated Jan 17, 2020
Key facts
- NPI
- 1992172118
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- BACB293460 (NC)
- Practice address
- 4634 Harmony LN
Efland, NC 27243-9456 - Phone
- (919) 742-0919
- NPI assigned
- Aug 24, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB293460 | NC | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | BACB293460 | NC | Yes |
Addresses
Primary practice location
4634 Harmony LN
Efland, NC 27243-9456
Mailing address
4634 Harmony LN
Efland, NC 27243-9456
Phone (919) 742-0919
Other practice location 1
500 Fairway Dr Ste 102
Deerfield Beach, FL 33441-1817
Phone (888) 880-9270
Other providers in Efland, NC
- Piedmont Health Services, Inc.
- Piedmont Health Services, Inc.
- Cheryl Riley
- Matt Alan Schumacher
- Kyrsten Renee Spurrier
- Charlotte Begonia Vitale
- Whole Child Behavioral Interventions
All providers in Efland, NC · Behavior Analyst in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.