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

Miss. Dorie Sullivan

Individual provider Behavior Technician · NPI 1962969832

Miss. Dorie Sullivan is a Behavior Technician in Grand Rapids, Michigan. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2

Practice location Address checks out

790 Fuller Ave NE
Grand Rapids, MI 49503-1918
Phone: (269) 680-0874
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1962969832
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 26, 2019
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023
Mailing address790 Fuller Ave Ne, Grand Rapids, MI 49503-1918

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