Lydia Sullivan

Behavior Analyst · Oak Park, IL

Individual Active NPI

NPI number 1124579370

Practice location

721 South Blvd
Suite 210
Oak Park, IL 60302-2982
Phone
(312) 404-7225

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NPI record

NPI
1124579370
Entity type
Individual (Type 1)
Enumeration date
October 21, 2016
Last updated
February 25, 2022
Certified
February 25, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 11623077 NJ
Behavior Analyst 103K00000X 11623077 IL

Mailing address

311 Wyckoff Ave
Ramsey, NJ 07446-2251
Phone
(845) 893-0066

About Lydia Sullivan

Lydia Sullivan is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 721 South Blvd, Suite 210, Oak Park, IL 60302-2982. The NPI number 1124579370 was assigned on October 21, 2016 and the record was last updated on February 25, 2022.

Lydia Sullivan lists 2 licenses in the registry: #11623077 (NJ) for Behavior Analyst; #11623077 (IL) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lydia Sullivan?

The NPI number is 1124579370.

What is the phone number of Lydia Sullivan?

The phone number listed for the practice location is (312) 404-7225.

Where is Lydia Sullivan located?

721 South Blvd, Suite 210, Oak Park, IL 60302-2982.

What is the taxonomy code for Lydia Sullivan?

The primary taxonomy code is 103K00000X – Behavior Analyst; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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