Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

JOHN MICHAEL SULLIVAN
NPI 1063338994
Behavior Analyst in Goshen, NY

Q: What is the provider's specialty?

The provider's specialty is Behavior Analyst with taxonomy code 103K00000X.

Active since June 25, 2026

2004 ROUTE 17M, GOSHEN, NY 10924(845) 294-0661 Get Directions Write a Review

NPPES record added: June 25, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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NPI Profile Information
Primary Taxonomy
Other Providers Same Location
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Individual
Male
Behavior Analyst

About JOHN SULLIVAN

This page provides the complete NPI Profile along with additional information for John Sullivan, a provider established in Goshen, New York with a medical specialization in Behavior Analyst. The healthcare provider is registered in the NPI registry with number 1063338994 assigned on June 2026. The practitioner's primary taxonomy code is 103K00000X with license number 000917 (NY). The provider is registered as an individual and his NPI record was last updated June 2026.

NPI: 1063338994 Verify this NPI
Provider Name: JOHN MICHAEL SULLIVAN
Gender: Male
Entity Type: Individual
Location Address: 2004 ROUTE 17M GOSHEN, NY 10924
Location Phone: (845) 294-0661
Mailing Address: 25 TERBAR LOOP NEW PALTZ, NY 12561
Mailing Phone: (516) 376-6527
Is Sole Proprietor?: Yes
Enumeration Date: 06-25-2026
Last Update Date: 06-25-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Behavior Analyst
Taxonomy Code: 103K00000X
Type: Behavioral Health & Social Service Providers
License No.: 000917
License State: NY
Taxonomy Description: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.