Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578948295 Individual Practitioner Female Practitioner

Keri Sullivan

Behavior Analyst • Lake Mary, FL

Professional Overview & Biography Verified Profile Summary

Keri Sullivan is a registered healthcare professional specializing in Behavior Analyst in Lake Mary, FL. Practice services are available at 175 MIDDLE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

175 Middle St
Suite 1201

Lake Mary, FL 327463625

Telephone 3154473617

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Lake Mary, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
47 Specialists

Practicing in Lake Mary, FL (13679 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License NC 11518907

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
009093700 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Rachel Webb

Behavior Analyst

NPI 1225557762
Beverly Manda , MA, ED

Behavior Technician

NPI 1528504594

Master of Arts, ED

Haley Livingston , RBT

Behavior Technician

NPI 1578000212

Registered Behavior Technician

Laticia Morrell

Behavior Technician

NPI 1790211704
Eric Veach

Behavior Technician

NPI 1902349954
Kaeleigh Gonzalez

Behavior Analyst

NPI 1952815912

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active March 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 24, 2017

Registered at 175 MIDDLE ST, SUITE 1201, LAKE MARY, FL 327463625 (Tel: 3154473617)

📍
Updated Business Mailing Address March 24, 2017

Registered at 8303 SPOTTER DR, APEX, NC 275022458 (Tel: 3154473617)

👤
Provider Name / Credentials Updated March 24, 2017

Recorded as KERI SULLIVAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2017

Behavior Analyst (License #11518907 in NC)

NPI Profile Active July 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2015

Registered at 8303 SPOTTER DR, APEX, NC 275022458 (Tel: 3154473617)

📍
Updated Business Mailing Address July 23, 2015

Registered at 8303 SPOTTER DR, APEX, NC 275022458 (Tel: 3154473617)

👤
Provider Name / Credentials Updated July 23, 2015

Recorded as KERI SULLIVAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2015

Behavior Analyst (License #11518907 in NC)

🟢
Initial NPI Registration & Enumeration July 23, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578948295
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2015
Last Update: March 24, 2017
Sole Proprietor: No

Mailing Address

8303 Spotter Dr

Apex, NC 275022458

Phone: 3154473617

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.