MR. BRADEN ALEC SULLIVAN N/A
NPI 1053840975
Assistant Behavior Analyst in Wichita, KS

Q: What is Braden Sullivan's NPI number?

The NPI number for Braden Sullivan is 1053840975. It was assigned to this individual provider in the NPPES registry on June 5, 2017.

Q: What is Braden Sullivan's specialty?

The primary specialty registered for this NPI is Assistant Behavior Analyst with taxonomy code 106E00000X.

Q: When was this NPI record last updated?

The NPPES record for Braden Sullivan was last updated on June 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 05, 2017

2258 N LAKEWAY CIR, WICHITA, KS 67205(316) 945-7117(316) 945-7447 Get Directions Write a Review

NPPES record last updated: June 26, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 26, 2018, Jun 5, 2017 (2 updates tracked since 2017).

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About Mr. Braden Alec Sullivan N/a NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BRADEN ALEC SULLIVAN N/A (NPI 1053840975) is an individual assistant behavior analyst provider in Wichita, Kansas and active in the NPI registry since June 2017. He maintains a secondary practice location in Wichita.

NPPES Registry Identity

NPI1053840975

Entity TypeIndividualMale

Primary Taxonomy106E00000X

Provider Legal NameMR. BRADEN ALEC SULLIVANCredential: N/A

Location Address2258 N LAKEWAY CIRWichita, KS 67205

Mailing Address3223 N Oliver StWichita, KS 67220-2106 · (316) 558-3410 · Fax (316) 267-5444

Phone(316) 945-7117

Fax(316) 945-7447

Sole ProprietorYes

Enumeration DateJune 5, 2017

Last NPPES UpdateJune 26, 20182 updates tracked since enumeration

✔ NPI 1053840975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssistant Behavior AnalystBehavioral Health & Social Service Providers

Taxonomy Code106E00000X

Definition

An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

Also ListedRespite Care · Respite Care, Intellectual and/or Developmental DisabilitiesTaxonomy 385HR2060X

2258 N LAKEWAY CIR, Wichita, KS 67205

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Secondary Practice Location 1

Location 13223 N Oliver StWichita, KS 67220-2106 · Phone (316) 558-3410 · Fax (316) 267-5444

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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