Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derek Nicholas Sullivan

Individual provider Behavior Technician · NPI 1790597540

Derek Nicholas Sullivan is a Behavior Technician in Montgomery, Alabama. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3966 Atlanta Hwy Ste 375
Montgomery, AL 36109-2919
Phone: (334) 414-3066
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1790597540
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedJanuary 20, 2025
Last updated in NPPESJanuary 20, 2025
Certification dateJanuary 20, 2025
Mailing address3240 Hillcrest Ln, Montgomery, AL 36109-3538

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