Active NPIIndividual provider

Jared M Bullock, BCBA

Behavior Analyst in Middleboro, Massachusetts

NPI Number1184107930
Practice location
25 Wareham St Bldg 4, Middleboro, MA 02346-2456
Fax
—
Last updated
September 7, 2018

Jared Mark Bullock is a Behavior Analyst based in Middleboro, MA. Jared Mark Bullock practices in Middleboro, MA and has the professional credentials of BCBA. The NPI Number for Jared Mark Bullock is 1184107930. The current practice location address for Jared Mark Bullock is 25 Wareham St Bldg 4, Middleboro, MA 02346-2456 and can be reached out via phone at 508-465-0417.

Provider Profile Details

NPI Number
1184107930
Provider Name
Jared Mark Bullock
Credential
BCBA
Provider Entity Type
Individual
Gender
Male
Address
25 Wareham St Bldg 4, Middleboro, MA 02346-2456
Phone Number
508-465-0417
Primary Taxonomy
Behavior Analyst · 103K00000X
Sole Proprietor
No
Provider Enumeration Date
September 7, 2018
Last Update Date
September 7, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Wareham St Bldg 4
Middleboro, MA 02346-2456
Zip
02346-2456
Phone Number
508-465-0417
Middleboro, MA 02346Get directions →

Provider Business Mailing Address Details

Address
25 Wareham St Bldg 4
Middleboro, MA 02346-2456
City
Middleboro
State
MA
Zip
02346-2456
Phone Number
508-465-0417

License Information

License State
MA
Taxonomy
Behavior Analyst · 103K00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jared M Bullock, BCBA?

The NPI number of Jared M Bullock, BCBA is 1184107930. It was assigned on September 7, 2018 and is currently active in the NPPES registry.

What is the specialty of Jared M Bullock, BCBA?

Jared M Bullock, BCBA is registered under the primary taxonomy Behavior Analyst (code 103K00000X).

Where does Jared M Bullock, BCBA practice?

The practice location is 25 Wareham St Bldg 4, Middleboro, MA 02346-2456. The office can be reached at 508-465-0417 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1184107930 directly on the NPPES registry website.

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