SANDRA JANE SULLIVAN
NPI 1386487908
Behavior Technician in Medford, OR

Active since June 13, 2024
3552 LONE PINE RD, MEDFORD, OR 97504(541) 613-3400(458) 226-2249 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sandra Jane Sullivan NPPES

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

SANDRA JANE SULLIVAN (NPI 1386487908) is an individual behavior technician in Medford, Oregon, licensed in Oregon (ABA-IN-10244577) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1386487908
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameSANDRA JANE SULLIVAN
Location Address3552 LONE PINE RDMedford, OR 97504-5637
Mailing Address3552 Lone Pine RdMedford, OR 97504-5637 · (541) 613-3400 · Fax (458) 226-2249
Fax(458) 226-2249
Sole ProprietorNo
Enumeration DateJune 13, 2024
NPPES CertifiedJune 13, 2024
NPI 1386487908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in OR · ABA-IN-10244577
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
3552 LONE PINE RD, Medford, OR 97504

Other Providers at the Same Location NPPES 19

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

Behavior Technician
3552 LONE PINE RD
MEDFORD, OR 97504
Behavior Technician
3552 LONE PINE RD
MEDFORD, OR 97504
Behavior Technician
3552 LONE PINE RD
MEDFORD, OR 97504
Behavior Technician
3552 LONE PINE RD
MEDFORD, OR 97504
Behavior Technician
3552 LONE PINE RD
MEDFORD, OR 97504
Behavior Technician
3552 LONE PINE RD
MEDFORD, OR 97504
Behavior Technician
3552 LONE PINE RD
MEDFORD, OR 97504
Behavior Technician
3552 LONE PINE RD
MEDFORD, OR 97504

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 Sandra Sullivan's NPI number?

The NPI number for Sandra Sullivan is 1386487908. It was assigned to this individual provider in the NPPES registry on June 13, 2024.

Where is Sandra Sullivan located?

Sandra Sullivan practices at 3552 Lone Pine Rd, Medford, OR 97504. The listed phone number is (541) 613-3400.

What is Sandra Sullivan's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Sandra Sullivan was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.