Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JOHN MICHAEL SULLIVAN
NPI 1063338994
Behavior Analyst in Goshen, NY

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: August 16, 2026.

About John Michael Sullivan NPPES

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

JOHN MICHAEL SULLIVAN (NPI 1063338994) is an individual behavior analyst provider in Goshen, New York, licensed in New York (000917) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1063338994
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameJOHN MICHAEL SULLIVAN
Location Address2004 ROUTE 17MGoshen, NY 10924-5210
Mailing Address25 Terbar LoopNew Paltz, NY 12561-4028 · (516) 376-6527
Sole ProprietorYes
Enumeration DateJune 25, 2026
NPPES CertifiedJune 25, 2026
NPI 1063338994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License Licensed in NY · 000917
Definition
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.
2004 ROUTE 17M, Goshen, NY 10924

Other Providers at the Same Location NPPES 7

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

Speech-Language Pathologist
2004 ROUTE 17M
GOSHEN, NY 10924
Physician Assistant (Medical)
2004 ROUTE 17M
GOSHEN, NY 10924
Speech-Language Pathologist
2004 ROUTE 17M
GOSHEN, NY 10924
Speech-Language Pathologist
2004 ROUTE 17M
GOSHEN, NY 10924
Speech-Language Pathologist
2004 ROUTE 17M
GOSHEN, NY 10924
Otolaryngology
2004 ROUTE 17M
GOSHEN, NY 10924
Otolaryngology
2004 ROUTE 17M
GOSHEN, NY 10924

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Sullivan's NPI number?

The NPI number for John Sullivan is 1063338994. It was assigned to this individual provider in the NPPES registry on June 25, 2026.

Where is John Sullivan located?

John Sullivan practices at 2004 Route 17M, Goshen, NY 10924. The listed phone number is (845) 294-0661.

What is John Sullivan's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for John Sullivan was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.