Bullard, Benjamin Tyler

Bullard, Benjamin Tyler is an individual health care provider with primary practice located at 126 Pavilion Pkwy , Fayetteville GA 30214-4056. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Bullard, Benjamin Tyler can be contacted via phone (770) 954-8988.

Contact Information

Primary practice address
126 Pavilion Pkwy Fayetteville GA 30214-4056
Phone: (770) 954-8988
Fax: (317) 520-8200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-90487 Georgia

Profile Details

NPI number 1538785977
LBN Legal business name Bullard, Benjamin Tyler
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2020
Last updated Jun 22nd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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