Individual provider · Type 1 NPI

Kenneth Jarred Bullock

Behavior Technician · Poplar Bluff, MO

NPI number 1063977809 Active

Practice location

3001 Warrior Ln
Poplar Bluff, MO 63901-8685

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1063977809

Kenneth Jarred Bullock's National Provider Identifier is 1063977809, issued on Feb 6, 2019. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Feb 6, 2019.