Active NPI
Nina Bullard
- Behavior Analyst
- Puyallup, WA
National Provider Identifier
1104218031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 15406 Meridian E Ste 103
Puyallup, WA 98375-9504 - Phone
- (253) 262-3409
- NPI assigned
- Mar 2, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | WA | ||
| Behavior Analyst | 103K00000X | WA | Primary |
Addresses
Primary practice location
15406 Meridian E Ste 103
Puyallup, WA 98375-9504
Mailing address
15406 Meridian E Ste 103
Puyallup, WA 98375-9504
Other practice location 1
3214 W McGraw St Ste 212
Seattle, WA 98199-3239
Phone (888) 294-1118
Other practice location 2
8815 S Tacoma Way Ste 122
Tacoma, WA 98499-7011
Phone (206) 388-0544
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706227200000",
"number": "1104218031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15406 MERIDIAN E STE 103",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983759504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15406 MERIDIAN E STE 103",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983759504",
"telephone_number": "253-262-3409"
}
],
"practiceLocations": [
{
"address_1": "3214 W McGraw St Ste 212",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981993239",
"country_code": "US",
"telephone_number": "888-294-1118",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8815 S Tacoma Way Ste 122",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984997011",
"country_code": "US",
"telephone_number": "206-388-0544",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BULLARD",
"first_name": "NINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-02",
"last_updated": "2024-01-26",
"certification_date": "2024-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.