TNAE BULLOCK

Behavior Technician

Active Individual
NPI: 1437561131

Practice Address

1000 E PARIS AVE SE
Grand Rapids, MI 49546

Phone: (844) 854-1116

Specialties

Specialty Code Primary License
Counselor 101Y00000X No -
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1437561131 is the National Provider Identifier for TNAE BULLOCK, a Behavior Technician provider located in Grand Rapids, MI. This NPI was enumerated on May 29, 2014.
TNAE BULLOCK practices at 1000 E PARIS AVE SE, Grand Rapids, MI 49546.

Quick Facts

NPI
1437561131
Type
Individual
Enumerated
May 29, 2014
Last Updated
Aug 28, 2023

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