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

Mrs. Mandy Jo Sullivan, BCBA

Individual provider Behavior Analyst · NPI 1992006621

Mrs. Mandy Jo Sullivan, BCBA is a Behavior Analyst in Murphysboro, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

20 N 13th St
Murphysboro, IL 62966-2057
Phone: (618) 687-2378
Fax: (618) 687-2733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-10-7895 (IL)

Record details

NPI number1992006621
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorNo
NPI enumeratedNovember 11, 2010
Last updated in NPPESMay 4, 2018
Mailing address353 S Lewis Ln, Carbondale, IL 62901-3441

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