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

Sandra Jane Sullivan

Individual provider Behavior Technician · NPI 1386487908

Sandra Jane Sullivan is a Behavior Technician in Medford, Oregon. Licensed in Oregon. Registered with an NPI since 2024.

Licensed in
OR
In the registry since
2024

Practice location Address checks out

3552 Lone Pine Rd
Medford, OR 97504-5637
Phone: (541) 613-3400
Fax: (458) 226-2249
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence ABA-IN-10244577 (OR)

Record details

NPI number1386487908
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 13, 2024
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024
Mailing address3552 Lone Pine Rd, Medford, OR 97504-5637

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