Individual provider · Type 1 NPI

Charnae Nykole Bullock

Behavior Technician · St. Petersburg, FL

NPI number 1376420158 Active

Practice location

10901 Roosevelt Blvd N Ste 100
St. Petersburg, FL 33716-2305

Call (888) 754-0398 Map

Mailing address

11601 4th St N Apt 4501
St. Petersburg, FL 33716-2753

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 1376420158

Charnae Nykole Bullock's National Provider Identifier is 1376420158, issued on Aug 21, 2025. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Aug 21, 2025.