IndividualActive
Rebecca Sullivan
NPI 1124975529 · Behavior Technician · Fort Wayne, IN
Rebecca Sullivan is a Behavior Technician provider in Fort Wayne, IN (NPI 1124975529).
Provider details
- NPI number
- 1124975529
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(46/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
5511 Coventry Ln
Fort Wayne, IN 46804-7144
Phone: (260) 222-8959
Street-level locationGet directions
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Registry dates
- Enumerated
- 2026-03-13
- Last updated
- 2026-03-13
- Certified
- 2026-03-13
Frequently asked questions
- What is Rebecca Sullivan's NPI number?
- Rebecca Sullivan's National Provider Identifier (NPI) is 1124975529, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rebecca Sullivan's specialty?
- Rebecca Sullivan is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Rebecca Sullivan located?
- Rebecca Sullivan's practice location on file with NPPES is 5511 Coventry Ln, Fort Wayne, IN 46804-7144.
- What is Rebecca Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Rebecca Sullivan is (260) 222-8959.
- Is Rebecca Sullivan's NPI active?
- Yes — Rebecca Sullivan's NPI (1124975529) is active in the NPPES registry as of the last update on 2026-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.