Mr. Braden Alec Sullivan
Assistant Behavior Analyst
2258 N Lakeway Cir
Wichita
, Kansas 67205
Mr. Braden Alec Sullivan
Assistant Behavior Analyst
2258 N Lakeway Cir
Wichita
, Kansas 67205
(316) 267-5444
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About
Features
Specialties
- Assistant Behavior Analyst
Languages spoken
- English
Location
First Address
- Mr. Braden Alec Sullivan
- 3223 N Oliver St
- Wichita, KS
- Zip : 67220-2106
- Fax : (316) 267-5444
- Phone : (316) 558-3410
Second Address
- Mr. Braden Alec Sullivan
- 2258 N Lakeway Cir
- Wichita, KS
- Zip : 67205
- Fax : (316) 945-7447
- Phone : (316) 945-7117
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106E00000X | Assistant Behavior Analyst |
National Provider Identifier
| NPI | 1053840975 |
|---|---|
| Provider Name | Mr. Braden Alec Sullivan |
| First Address | Wichita, KS 67220-2106 |
| Second Address | Wichita, KS 67205 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/06/2017 |
| Last Update Date | 26/06/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.