Kristen Bullard

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-54361

Practice address

9000 Southside Blvd BLDG 900
Jacksonville, FL 32256-0791

Phone

(904) 732-4343

Fax

(904) 562-3466

NPI assigned

Jun 17, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jacksonville Autism Clinic LLC

  • Multi-Specialty Clinic/Center
  • Jacksonville, FL
  • NPI 1265016927

  Behavior Analyst

  NPD
• Jacksonville School for Autism

  • Behavior Analyst
  • Jacksonville, FL
  • NPI 1295077840
  NPD

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1689088734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 SOUTHSIDE BLVD BLDG 900",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 SOUTHSIDE BLVD BLDG 900",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560791",
            "telephone_number": "904-732-4343",
            "fax_number": "904-562-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-21-54361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilian Atieno Buist
• Stephany Buitrago Aguirre
• Karli Kay Bukovac, MOT, OTR/L
• Natalya V Bulaeva, M.D.
• Chelsea Bullard, DC
• Shaun Bullard, D.M.D
• Elisabeth Bulliner, PT, DPT
• Tina Lee Bullis, COTA
• Catherine Christina Bullock, MD
• Kristen Bullock

• Behavior Analyst in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.