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

Mr. Braden Alec Sullivan, N/A

Individual provider Child Intellectual and/or Developmental Disabilities Respite Care · NPI 1053840975

Mr. Braden Alec Sullivan, N/A is a Child Intellectual and/or Developmental Disabilities Respite Care in Wichita, Kansas. Practices as a sole proprietor and works from 2 locations. Licensed in Kansas.

Licensed in
KS
In the registry since
2017
Specialties on file
2

Practice location Address checks out

2258 N Lakeway Cir
Wichita, KS 67205
Phone: (316) 945-7117
Fax: (316) 945-7447
Show map & directions

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

Additional practice locations (1)

  • 3223 N Oliver St, Wichita, KS 67220-2106 — (316) 558-3410

Specialties & licences

Assistant Behavior Analyst (primary) Taxonomy 106E00000X
Child Intellectual and/or Developmental Disabilities Respite Care Taxonomy 385HR2060X (KS)

Record details

NPI number1053840975
Entity typeIndividual (Type 1)
GenderMale
Credentials N/A
Sole proprietorYes
NPI enumeratedJune 5, 2017
Last updated in NPPESJune 26, 2018

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