Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881418051 Individual Practitioner Female Practitioner

Lysha A Sullivan

Behavior Technician • Jerome, ID

Professional Overview & Biography Verified Profile Summary

Lysha Sullivan is a registered healthcare professional specializing in Behavior Technician in Jerome, ID. Practice services are available at 130 S LINCOLN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

130 S Lincoln Ave

Jerome, ID 833382631

Telephone 2085954950

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Jerome, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
25 Specialists

Practicing in Jerome, ID (1217 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

CMS Verified: 2024-11-13
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

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.

Counselor

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

14 Associated Practitioners
Alexandria Gandiaga

Behavior Technician

NPI 1023818721
Bianey Gutierrez

Behavior Technician

NPI 1083421937
Kaleb Henson

Behavior Technician

NPI 1205656865
Natalia Aguilar

Behavior Technician

NPI 1366272999
Lizeth Peoble

Behavior Technician

NPI 1376379198
Priscilla Vega

Behavior Technician

NPI 1417746348

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 13, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location November 13, 2024

Registered at 130 S LINCOLN AVE, JEROME, ID 833382631 (Tel: 2085954950)

📍
Updated Business Mailing Address November 13, 2024

Registered at 130 S LINCOLN AVE, JEROME, ID 833382631 (Tel: 2085954950)

👤
Provider Name / Credentials Updated November 13, 2024

Recorded as LYSHA SULLIVAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 13, 2024

Counselor

🟢
Initial NPI Registration & Enumeration November 13, 2024

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: 1881418051
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 13, 2024
Last Update: November 13, 2024
Sole Proprietor: No

Mailing Address

130 S Lincoln Ave

Jerome, ID 833382631

Phone: 2085954950

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.