Individual provider · Type 1 NPI

Shannon Sullivan

Behavior Analyst · St. Clair Shores, MI

NPI number 1487536611 Active

Practice location

26210 Harper Ave
St. Clair Shores, MI 48081-2203

Call (734) 796-6612 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Behavior Analyst Primary 103K00000X7401002983 (MI)

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1487536611

Shannon Sullivan's National Provider Identifier is 1487536611, issued on Jul 21, 2025. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Aug 31, 2026.