Sullivan, Braden Alec

Sullivan, Braden Alec is an sole proprietor health care provider with primary practice located at 2258 N Lakeway Cir , Wichita KS 67205. He recently has 2 registered licenses in different health care specialties including Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is his primary health care specialty. Sullivan, Braden Alec can be contacted via phone (316) 945-7117.

Contact Information

Primary practice address
2258 N Lakeway Cir Wichita KS 67205
Phone: (316) 945-7117
Fax: (316) 945-7447
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X Kansas
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1053840975
LBN Legal business name Sullivan, Braden Alec
Credentials N/A
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2017
Last updated Jun 26th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers