DOMINIQUE SULLIVAN
NPI 1942962279
Behavior Technician in Fresno, CA

NPI Status: Active since October 13, 2021

Contact Information

5168 N BLYTHE AVE STE 102
FRESNO, CA
ZIP 93722
Phone: (559) 255-5900

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  • Individual
  • Female
  • Behavior Technician

About DOMINIQUE SULLIVAN

This page provides the complete NPI Profile along with additional information for Dominique Sullivan, a provider established in Fresno, California with a medical specialization in Behavior Technician. The healthcare provider is registered in the NPI registry with number 1942962279 assigned on October 2021. The practitioner's primary taxonomy code is 106S00000X with license number F3138468 (CA). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1942962279
Provider Name
DOMINIQUE SULLIVAN
Gender
Female
Entity Type
Individual
Location Address
5168 N BLYTHE AVE STE 102 FRESNO, CA 93722
Location Phone
(559) 255-5900
Mailing Address
21600 OXNARD ST STE 1800 WOODLAND HILLS, CA 91367
Mailing Phone
(818) 345-2345
Is Sole Proprietor?
No
Enumeration Date
10-13-2021
Last Update Date
10-13-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Behavior Technician

Taxonomy Code
106S00000X
Type
Behavioral Health & Social Service Providers
License No.
F3138468
License State
CA
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1942962279
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29821864214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 8 + 2 + 1 + 8 + 6 + 4 + 2 + 1 + 4 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1942962279 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215561717 SAUL MARCOS HERRERA
Individual
Behavior Technician5168 N BLYTHE AVE STE 102
FRESNO, CA 93722
(559) 255-5900
1760016570 ELOY VALENTINO GONZALEZ
Individual
Behavior Technician5168 N BLYTHE AVE STE 102
FRESNO, CA 93722
(559) 255-5900
1518567171 JACOB BAXTER
Individual
Assistant Behavior Analyst5168 N BLYTHE AVE STE 102
FRESNO, CA 93722
(559) 255-5900
1245820893 KEVIN YU
Individual
Behavior Technician5168 N BLYTHE AVE STE 102
FRESNO, CA 93722
(559) 255-5900
1730771445MISS BRIANA CYNTHIA PADILLA
Individual
Behavior Analyst5168 N BLYTHE AVE STE 102
FRESNO, CA 93722
(559) 255-5900
1497347959 MARIAH JASMINE GARCIA
Individual
Behavior Technician5168 N BLYTHE AVE STE 102
FRESNO, CA 93722
(559) 255-5900
1992397459 JESSICA A. AGUILAR
Individual
Behavior Technician5168 N BLYTHE AVE STE 102
FRESNO, CA 93722
(818) 345-2345
1306422837 SHAYLALI LADD
Individual
Behavior Technician5168 N BLYTHE AVE STE 102
FRESNO, CA 93722
(559) 255-5900
1902560816 BRIANA NICOLE VELASQUEZ
Individual
Behavior Technician5168 N BLYTHE AVE STE 102
FRESNO, CA 93722
(559) 225-5900
1306501572 MALYAH SANDERS
Individual
Behavior Technician5168 N BLYTHE AVE STE 102
FRESNO, CA 93722
(559) 255-5900
1912405093MISS TAMARRA DIANE DANIELS BCBA
Individual
Behavior Analyst5168 N BLYTHE AVE STE 102
FRESNO, CA 93722
(559) 255-5900
1386302719 ELISE MADELINE ORMONDE
Individual
Behavior Technician5168 N BLYTHE AVE STE 102
FRESNO, CA 93722
(559) 255-5900
1407505407 SPENCER CODD
Individual
Behavior Technician5168 N BLYTHE AVE STE 102
FRESNO, CA 93722
(559) 255-5900
1497403794 DAVID GALLEGOS
Individual
Behavior Technician5168 N BLYTHE AVE STE 102
FRESNO, CA 93722
(559) 255-5900
1669114740 ALEXIA DANIELLE VARELA
Individual
Behavior Technician5168 N BLYTHE AVE STE 102
FRESNO, CA 93722
(559) 255-5900
1871237867 CHRISTIAN LEMUS
Individual
Behavior Technician5168 N BLYTHE AVE STE 102
FRESNO, CA 93722
(559) 255-5900
1063151264 JESSICA TROXELL
Individual
Behavior Technician5168 N BLYTHE AVE STE 102
FRESNO, CA 93722
(559) 255-5900
1770219677 KYLEE DESIREE PASCUAL
Individual
Behavior Analyst5168 N BLYTHE AVE STE 102
FRESNO, CA 93722
(559) 255-5900
1568180081 ADRIANA MAE HAYES
Individual
Behavior Analyst5168 N BLYTHE AVE STE 102
FRESNO, CA 93722
(559) 255-5900
1568900702 KERI O'CALLAGHAN
Individual
Behavior Analyst5168 N BLYTHE AVE STE 102
FRESNO, CA 93722
(559) 255-5900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942962279, enumerated in the NPI registry as an "individual" on October 13, 2021

The provider is located at 5168 N Blythe Ave Ste 102 Fresno, Ca 93722 and the phone number is (559) 255-5900

The provider's speciality is Behavior Technician with taxonomy code 106S00000X

This NPI record was last updated on October 13, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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