IndividualActive
Braden Sullivan, N/A
NPI 1053840975 · Assistant Behavior Analyst · Wichita, KS
Provider details
- NPI number
- 1053840975
- Entity type
- Individual
- Primary specialty
- Assistant Behavior AnalystBehavioral Health & Social Service Providers
- Credential
- N/A
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Respite Care Facility
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2258 N Lakeway Cir
Wichita, KS 67205
Phone: (316) 945-7117
Fax: (316) 945-7447
Street-level locationGet directions
Mailing address
3223 N Oliver St
Wichita, KS 67220-2106
Additional practice locations (1)
- 3223 N Oliver StWichita, KS 67220-2106Phone: (316) 558-3410Fax: (316) 267-5444
Registry dates
- Enumerated
- 2017-06-05
- Last updated
- 2018-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.