NPI 1053840975

Braden Alec Sullivan, NA

Practitioner Assistant Behavior Analyst Wichita, KS

Practice location

Address: 2258 N Lakeway Cir, Wichita, KS 67205
Phone: (316) 945-7117
Fax: (316) 945-7447
Mailing address: 3223 N Oliver St, Wichita, KS 67220-2106

Registered specialties (2)

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

Other Assistant Behavior Analyst providers in Kansas →

Child Intellectual and/or Developmental Disabilities Respite Care

Respite Care Facility Taxonomy 385HR2060X

Other Respite Care providers in Kansas →

Registry record

NPI: 1053840975
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jun 2017
Record last updated: 26 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.