Individual provider · Type 1 NPI

Rita Bullock

Assistant Behavior Analyst · Valley Stream, NY

NPI number 1710444963 Active

Practice location

1626 Putney Rd
Valley Stream, NY 11580-1818

Mailing address

17015 Lithonia Ave Apt 1
Fresh Meadows, NY 11365-1105

Specialties and licenses

TaxonomyCodeLicense
Assistant Behavior Analyst Primary 106E00000XNone listed

Assistant Behavior Analyst: An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws …

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About NPI 1710444963

Rita Bullock's National Provider Identifier is 1710444963, issued on Feb 25, 2019. The primary taxonomy on file is Assistant Behavior Analyst (106E00000X), and the practice location is in Valley Stream, NY. The record was last updated on Feb 25, 2019.