NPI 1548616097 · live from the CMS NPI Registry
Lena Vaughn Bullock, BCBA
Behavior Analyst in Florence, SC. National Provider Identifier 1548616097, active.
NPI record
| NPI | 1548616097 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 444 2nd Loop Rd, Florence, SC 29505 |
| Practice phone | 843-536-8674 |
| Mailing address | 2580 Lin DO Ct, Sumter, SC 29150 |
| Enumerated | May 13, 2016 |
| Last updated | July 18, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.