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

Michael J Sullivan, RBT

Individual provider Behavior Technician · NPI 1679392096

Michael J Sullivan, RBT is a Behavior Technician in Perris, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
What do these letters mean?
RBT — Registered Behavior Technician
Delivers behaviour therapy under a behaviour analyst's supervision.

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Practice location Address checks out

21105 Kimes Ln
Perris, CA 92570-9604
Phone: (808) 852-8005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-21-7343-292140 (CA)

Record details

NPI number1679392096
Entity typeIndividual (Type 1)
GenderMale
Credentials RBT
Sole proprietorNo
NPI enumeratedOctober 3, 2024
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024
Mailing address21105 Kimes Ln, Perris, CA 92570-9604

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