IndividualActive
Michael Sullivan, RBT
NPI 1679392096 · Behavior Technician · Perris, CA
Michael Sullivan, RBT is a Behavior Technician provider in Perris, CA (NPI 1679392096).
Provider details
- NPI number
- 1679392096
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- RBT
- Sex
- Male
- Sole proprietor
- No
- License
- RBT-21-7343-292140 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% 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
21105 Kimes Ln
Perris, CA 92570-9604
Phone: (808) 852-8005
Street-level locationGet directions
Mailing address
21105 Kimes Ln
Perris, CA 92570-9604
Registry dates
- Enumerated
- 2024-10-03
- Last updated
- 2024-10-03
- Certified
- 2024-10-03
Frequently asked questions
- What is Michael Sullivan's NPI number?
- Michael Sullivan's National Provider Identifier (NPI) is 1679392096, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Sullivan's specialty?
- Michael Sullivan is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Michael Sullivan located?
- Michael Sullivan's practice location on file with NPPES is 21105 Kimes Ln, Perris, CA 92570-9604.
- What is Michael Sullivan's phone number?
- The practice phone number listed in the NPPES registry for Michael Sullivan is (808) 852-8005.
- Is Michael Sullivan's NPI active?
- Yes — Michael Sullivan's NPI (1679392096) is active in the NPPES registry as of the last update on 2024-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.