Michael J. Sullivan, RBT

Behavior Technician · Perris, CA

Individual Active NPI

NPI number 1679392096

Practice location

21105 Kimes Ln
Perris, CA 92570-9604
Phone
(808) 852-8005

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NPI record

NPI
1679392096
Entity type
Individual (Type 1)
Enumeration date
October 3, 2024
Last updated
October 3, 2024
Certified
October 3, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X RBT-21-7343-292140 CA

About Michael Sullivan

Michael J. Sullivan, RBT is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 21105 Kimes Ln, Perris, CA 92570-9604. The NPI number 1679392096 was assigned on October 3, 2024 and the record was last updated on October 3, 2024.

Michael Sullivan lists a license in the registry: #RBT-21-7343-292140 (CA) for Behavior Technician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael J. Sullivan, RBT?

The NPI number is 1679392096.

What is the phone number of Michael Sullivan?

The phone number listed for the practice location is (808) 852-8005.

Where is Michael Sullivan located?

21105 Kimes Ln, Perris, CA 92570-9604.

What is the taxonomy code for Michael Sullivan?

The primary taxonomy code is 106S00000X – Behavior Technician.

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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