John Joseph Bullard, BCBA
Individual provider Active NPI Behavior Analyst · Shalimar, FL
NPI 1861977167 · NPPES record last updated Nov 6, 2025
Key facts
- NPI
- 1861977167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 74 3Rd St
Shalimar, FL 32579-1377 - Phone
- (850) 362-6824
- Fax
- (850) 362-6826
- NPI assigned
- Oct 2, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond Expectations Inc. | Behavior Analyst | Current |
Accepting new patients |
Locations
103 Lewis St
Fort Walton Beach, FL 32547
Phone (850) 226-4988
74 3rd St
Shalimar, FL 32579
Phone (850) 226-4988
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Yes |
Addresses
Primary practice location
74 3Rd St
Shalimar, FL 32579-1377
Mailing address
PO Box 259
Shalimar, FL 32579-0259
Phone (850) 362-6824
Other providers in Shalimar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.