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

Lisa Marie Peralta Sullivan

Individual provider Behavior Technician · NPI 1871339416

Lisa Marie Peralta Sullivan is a Behavior Technician in Moorhead, Minnesota. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1530 1st Ave N Ste 150
Moorhead, MN 56560-0002
Phone: (218) 228-3296
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 number1871339416
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 3, 2024
Last updated in NPPESJuly 3, 2024
Certification dateJuly 3, 2024

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