Active NPI
Taylor Lynn Buldra, MS, BCBA
- Behavior Analyst
- Bentonville, AR
National Provider Identifier
1891367975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-67243
- Practice address
- 2703 SE Otis Corley Dr Ste 11
Bentonville, AR 72712-3414 - Phone
- (479) 339-9678
- Fax
- (317) 520-8200
- NPI assigned
- Jul 16, 2021
- Sex
- Female
- Sole proprietor
- No
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-21-152383 | IL | MD | Behavior Technician |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-21-152383 | IL | |
| Behavior Analyst | 103K00000X | 1-23-67243 | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2703 SE Otis Corley Dr Ste 11
Bentonville, AR 72712-3414
Mailing address
1725 S Naperville Rd
Wheaton, IL 60189-5805
Phone (630) 793-8404
Other practice location 1
1725 S Naperville Rd Ste 110
Wheaton, IL 60189-5855
Phone (630) 793-8404
Other practice location 2
4610 W Commercial Dr
North Little Rock, AR 72116-7057
Phone (501) 287-5229
Other names 1
NPPES NPI Registry- Taylor Lynn Shulz
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 13, 2025.
{
"created_epoch": "1626393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1891367975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 S NAPERVILLE RD",
"city": "WHEATON",
"state": "IL",
"postal_code": "601895805",
"telephone_number": "630-793-8404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2703 SE OTIS CORLEY DR STE 11",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123414",
"telephone_number": "479-339-9678",
"fax_number": "317-520-8200"
}
],
"practiceLocations": [
{
"address_1": "1725 S Naperville Rd Ste 110",
"address_purpose": "LOCATION",
"city": "Wheaton",
"state": "IL",
"postal_code": "601895855",
"country_code": "US",
"telephone_number": "630-793-8404",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4610 W Commercial Dr",
"address_purpose": "LOCATION",
"city": "North Little Rock",
"state": "AR",
"postal_code": "721167057",
"country_code": "US",
"telephone_number": "501-287-5229",
"fax_number": "317-520-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BULDRA",
"first_name": "TAYLOR",
"middle_name": "LYNN",
"credential": "MS, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-16",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IL",
"license": "RBT-21-152383",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": "1-23-67243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAYLOR",
"last_name": "SHULZ",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.