Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1992006621 Individual Practitioner Female Practitioner

Mandy Jo Sullivan , BCBA

Behavior Analyst • Murphysboro, IL

Professional Overview & Biography Verified Profile Summary

Mandy Sullivan, BCBA is a registered healthcare professional specializing in Behavior Analyst in Murphysboro, IL. Practice services are available at 20 N 13TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

20 N 13th St

Murphysboro, IL 629662057

Telephone 6186872378
Fax 6186872733
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Murphysboro, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Murphysboro, IL (3105 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 IL 1-10-7895

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
1-10-7895 (IL)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Karli Wright

Behavior Analyst

NPI 1619842366
Christina Chancey

Assistant Behavior Analyst

NPI 1902339864

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address May 04, 2018

Registered at 353 S LEWIS LN, CARBONDALE, IL 629013441 (Tel: 7086251339)

👤
Provider Name / Credentials Updated May 04, 2018

Recorded as MANDY SULLIVAN, BCBA

NPI Profile Active November 11, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location November 11, 2010

Registered at 20 N 13TH ST, MURPHYSBORO, IL 629662057 (Tel: 6186872378)

📍
Updated Business Mailing Address November 11, 2010

Registered at P.O. BOX 938, 20 N. 13TH ST., MURPHYSBORO, IL 629660938 (Tel: 6186872378)

👤
Provider Name / Credentials Updated November 11, 2010

Recorded as MANDY FLEMING, BCBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2010

Behavior Analyst (License #1-10-7895 in IL)

🟢
Initial NPI Registration & Enumeration November 11, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1992006621
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 11, 2010
Last Update: May 04, 2018
Sole Proprietor: No

Mailing Address

353 S Lewis Ln

Carbondale, IL 629013441

Phone: 7086251339

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.