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

Kelly Sullivan

Individual provider Behavior Technician · NPI 1700659067

Kelly Sullivan is a Behavior Technician in Augusta, Georgia. Licensed in Georgia. Registered with an NPI since 2023.

Licensed in
GA
In the registry since
2023

Practice location Address checks out

3727 Executive Center Dr
Augusta, GA 30907-2398
Phone: (706) 842-5330
Fax: (706) 842-5340
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-23-306374 (GA)

Record details

NPI number1700659067
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 30, 2023
Last updated in NPPESOctober 30, 2023
Certification dateOctober 30, 2023
Mailing addressPo Box 2567, Augusta, GA 30903-2567

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