Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN TYLER BULLARD
ActiveBENJAMIN TYLER BULLARD is a Behavior Technician healthcare provider located in FAYETTEVILLE, Georgia. NPI 1538785977 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · FAYETTEVILLE, GA
Registration Details
- NPI Number
- 1538785977
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2020 (6.1151364934144 yrs)
- Last Updated
- Jun 22, 2020
- License
-
RBT-19-90487 (GA)
Practice Information
- Address
-
126 PAVILION PKWYFAYETTEVILLE, GA, 302144056Browse GA providers · Browse ZIP 30214
- Phone
- 7709548988
- Fax
- 3175208200
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in FAYETTEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| JUSTICE MALEE PERRY | BA | 1013534403 |
| KASHIA WATERTON | RBT | 1962012195 |
| SHARON LEE JACKSON | MS | 1558973164 |
| MARTHA LAUREN BLAIDES | BSW | 1508471400 |
| MIEKA MATTIE KRISTIA GILLESPIE | BS | 1871108696 |
| JORDAN AALIYAH MOISES | BS, RBT | 1730795808 |
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.