Provider Demographics
NPI:1225646490
Name:SUNSHINE BEHAVIORAL CONSULTING
Entity Type:Organization
Organization Name:SUNSHINE BEHAVIORAL CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR / FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:ANDREA
Authorized Official - Last Name:RANDOLPH
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA
Authorized Official - Phone:757-450-8507
Mailing Address - Street 1:405 S PARLIAMENT DR STE 205
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-6311
Mailing Address - Country:US
Mailing Address - Phone:757-450-8507
Mailing Address - Fax:757-585-3544
Practice Address - Street 1:405 S PARLIAMENT DR STE 205
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-6311
Practice Address - Country:US
Practice Address - Phone:757-450-8507
Practice Address - Fax:757-585-3544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-14
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health