IndividualActive
Anita De Sully
NPI 1720924194 · Behavior Technician · Prineville, OR
Provider details
- NPI number
- 1720924194
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
280 Sw 4th St
Prineville, OR 97754-2110
Phone: (541) 410-4807
Approximate (ZIP-level) locationGet directions
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Registry dates
- Enumerated
- 2026-04-27
- Last updated
- 2026-04-27
- Certified
- 2026-04-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.