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MRS. MANDY JO SULLIVAN BCBA
NPI 1992006621
Behavior Analyst in Murphysboro, IL

Active since November 11, 2010
20 N 13TH ST, MURPHYSBORO, IL 62966(618) 687-2378(618) 687-2733 Get Directions Write a Review

NPPES record last updated: May 4, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Mandy Jo Sullivan Bcba NPPES

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

MRS. MANDY JO SULLIVAN BCBA (NPI 1992006621) is an individual behavior analyst provider in Murphysboro, Illinois, licensed in Illinois (1-10-7895) and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1992006621
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameMRS. MANDY JO SULLIVANCredential: BCBA
Location Address20 N 13TH STMurphysboro, IL 62966-2057
Mailing Address353 S Lewis LnCarbondale, IL 62901-3441 · (708) 625-1339
Phone(618) 687-2378
Fax(618) 687-2733
Sole ProprietorNo
Enumeration DateNovember 11, 2010
Last NPPES UpdateMay 4, 2018
✔ NPI 1992006621 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 IL · 1-10-7895
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.
20 N 13TH ST, Murphysboro, IL 62966
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Other Identifiers 1

Medicaid1-10-7895IL

Other Providers at the Same Location NPPES 3

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

SPECIALIZED TRAINING FOR ADULT REHABILITATION, INC
Day Training, Developmentally Disabled Services
20 N 13TH ST
MURPHYSBORO, IL 62966
Jackson County (618) 687-2378
KARLI WRIGHT
Behavior Analyst
20 N 13TH ST
MURPHYSBORO, IL 62966
Jackson County (618) 687-2378
CHRISTINA L CHANCEY
Assistant Behavior Analyst
20 N 13TH ST
MURPHYSBORO, IL 62966
Jackson County (618) 687-2378

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 Mandy Sullivan's NPI number?

The NPI number for Mandy Sullivan is 1992006621. It was assigned to this individual provider in the NPPES registry on November 11, 2010.

Where is Mandy Sullivan located?

Mandy Sullivan practices at 20 N 13th St, Murphysboro, IL 62966. The listed phone number is (618) 687-2378.

What is Mandy 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 Mandy Sullivan was last updated on May 4, 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.