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Mrs. Mandy Jo Sullivan, BCBA

Behavior Analyst in Murphysboro, IL · enumerated 2010 · practices at Specialized Training for Adult Rehabilitation, Inc.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1992006621

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Registry record

Entity type Individual (Type 1)
Name Mrs. Mandy Jo Sullivan
Credential BCBA
Sex Female
Practice address 20 N 13th St, Murphysboro, IL, 62966
Fax (618) 687-2733
Enumeration date Nov 11, 2010
Last updated in NPPES May 4, 2018

Taxonomy & licenses

103K00000X Behavior Analyst Behavioral Health & Social Service Providers · License 1-10-7895 (IL) Primary

Other identifiers

Identifier Type State Issuer
1-10-7895 Medicaid IL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Mandy Sullivan practice?
The practice location on file with NPPES is in Murphysboro, IL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Mandy Sullivan?
The National Provider Identifier (NPI) for Mandy Sullivan is 1992006621, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-05-04.