Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. TRACEY LA DAWN BULLOCK, RBT
ActiveMRS. TRACEY LA DAWN BULLOCK, RBT is a Behavior Technician healthcare provider located in PORTALES, New Mexico. NPI 1265948038 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · PORTALES, NM
Registration Details
- NPI Number
- 1265948038
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 15, 2017 (8.6214080334764 yrs)
- Last Updated
- Dec 15, 2017
- License
-
RBT-16-22817 (NM)
Practice Information
- Address
-
830 W 14TH STPORTALES, NM, 881306708Browse NM providers · Browse ZIP 88130
- Phone
- 5758251229
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in PORTALES, NM
| Name | Credential | NPI |
|---|---|---|
| SHEA MAHAN | B.S. | 1770008500 |
| TYRA HARDIN | — | 1528551157 |
| JESSICA DIANNE TERRY | — | 1285103218 |
| MRS. SAMANTHA L GIBSON | — | 1447719323 |
| MRS. AUBREY ROSE COURTNEY | — | 1245877604 |
| AUTUMN REYNOLDS | — | 1477193076 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.