Wellformed AI

NPI 1194280040 · live from the CMS NPI Registry

Christopher Bullock

Behavior Analyst in Florence, SC. National Provider Identifier 1194280040, active.

NPI record

NPI1194280040 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location444 2nd Loop Rd, Florence, SC 29505
Practice phone843-536-8674
Mailing address1321 Murfreesboro Pike Ste 702, Nashville, TN 37217
EnumeratedFebruary 5, 2019
Last updatedFebruary 5, 2019
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.