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MR. BRADEN ALEC SULLIVAN, N/A

Active Sole Proprietor

MR. BRADEN ALEC SULLIVAN, N/A is a Assistant Behavior Analyst healthcare provider located in WICHITA, Kansas. NPI 1053840975 is currently active in the NPPES registry. Verify at CMS.

Assistant Behavior Analyst · WICHITA, KS

Registration Details

NPI Number
1053840975
Provider Type
Individual
Gender
Male
NPI Issued
Jun 5, 2017 (9.148864343714 yrs)
Last Updated
Jun 26, 2018
Sole Proprietor
Yes

Practice Information

Address
2258 N LAKEWAY CIR
WICHITA, KS, 67205
Browse KS providers · Browse ZIP 67205
Phone
3169457117
Fax
3169457447
Primary Specialty
Assistant Behavior Analyst
106E00000X
Additional Specialty
Assistant Behavior Analyst

Other Assistant Behavior Analyst Providers in WICHITA, KS

Name Credential NPI
STEPHANIE NICOLE WILLEY BCABA 1801262936
LAURA BETH MELLINGER 1891220364
KRISTINE MARIE RAY 1861927329
CHARISSE ELLEENE ESPARZA BCABA 1780192591
ALLYSON E PAVLACKA 1942781877
BEATRIZ VEGA RODRIGUEZ 1861215196
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.