Individual provider · Type 1 NPI
Tracey La Dawn Bullock, RBT
Behavior Technician · Portales, NM
Practice location
830 W 14th St
Portales, NM 88130-6708
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician Primary | 106S00000X | RBT-16-22817 (NM) |
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 1265948038
Tracey La Dawn Bullock, RBT's National Provider Identifier is 1265948038, issued on Dec 15, 2017. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Portales, NM. The record was last updated on Dec 15, 2017.