Lysha A. Sullivan

Behavior Technician · Jerome, ID

Individual Active NPI

NPI number 1881418051

Practice location

130 S Lincoln Ave
Jerome, ID 83338-2631
Phone
(208) 595-4950

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NPI record

NPI
1881418051
Entity type
Individual (Type 1)
Enumeration date
November 13, 2024
Last updated
November 13, 2024
Certified
November 13, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —
Counselor 101Y00000X — —
Behavior Analyst 103K00000X — —
Student in an Organized Health Care Education/Training Program 390200000X — —

About Lysha Sullivan

Lysha A. Sullivan is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 130 S Lincoln Ave, Jerome, ID 83338-2631. The NPI number 1881418051 was assigned on November 13, 2024 and the record was last updated on November 13, 2024.

Frequently asked questions

What is the NPI number of Lysha A. Sullivan?

The NPI number is 1881418051.

What is the phone number of Lysha Sullivan?

The phone number listed for the practice location is (208) 595-4950.

Where is Lysha Sullivan located?

130 S Lincoln Ave, Jerome, ID 83338-2631.

What is the taxonomy code for Lysha Sullivan?

The primary taxonomy code is 106S00000X – Behavior Technician; 3 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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