Yajaira Bulted

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

7041 Grand National Dr Ste 132
Orlando, FL 32819-8960

Phone

(000) 000-0000

NPI assigned

Aug 20, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1033766456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 S RIO GRANDE AVE STE 102",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7041 GRAND NATIONAL DR STE 132",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328198960",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULTED",
        "first_name": "YAJAIRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "yajairabulted@gmail.com",
            "affiliation": "N",
            "endpointDescription": "PSR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "therapy",
            "address_1": "6000 S Rio Grande Ave Ste 102",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328094650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brittney Angelle Bullard, NP-C
• Elizabeth Bullard
• Jenny Bullard, CRNA
• Timothy B Bullard, MD
• Mia N Bulso
• Courtneigh Bumgardner
• Mariliz Borbon Bumgarner, M.D.
• Lauren Bump
• Veronica Bunbury, CASE MANAGEMENT
• Kristin Renee Bunch

• Behavior Technician in Orlando, FL
• Providers in Orlando, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.