Jared Mark Bullock, BCBA
NPI #1184107930 in Middleboro, Massachusetts
Provider Information
- NPI Number
- 1184107930
- Entity Type
- Individual
- Name
- Jared Mark Bullock, BCBA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Analyst
- Credential
- BCBA
- Enumeration Date
- Sep 7, 2018
- Last Updated
- Sep 7, 2018
Practice Location
- Address
- 25 WAREHAM ST BLDG 4
- City
- Middleboro
- State
- Massachusetts
- ZIP Code
- 02346-2456
- Phone
- (508) 465-0417
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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