Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN MICHAEL SULLIVAN
Active Sole ProprietorJORDAN MICHAEL SULLIVAN is a Day Training/Habilitation healthcare provider located in ROSEVILLE, California. NPI 1083199434 is currently active in the NPPES registry. Verify at CMS.
Day Training/Habilitation · ROSEVILLE, CA
Registration Details
- NPI Number
- 1083199434
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 2, 2018 (7.8611290164799 yrs)
- Last Updated
- Apr 23, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
1520 EUREKA RD STE 102ROSEVILLE, CA, 956612849Browse CA providers · Browse ZIP 95661
- Phone
- 9167591168
- Primary Specialty
-
Day Training/Habilitation
373H00000X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Behavior Technician
- Additional Specialty
- Case Manager
- Additional Specialty
- Community Health Worker
Other Day Training/Habilitation Providers in ROSEVILLE, CA
| Name | Credential | NPI |
|---|---|---|
| CHARMAINE CRANS | — | 1871626945 |
| MR. CLINTON BRENT LUGAR | MHRS | 1730304098 |
| KIRK DAVID HOUSTON | — | 1689018566 |
| MICHAEL PECH | RADT | 1710425988 |
| CRYSTAL MARIE FOSTER-HUNT | — | 1518406933 |
| FRANZISKA MANDEL | — | 1871064915 |
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.