Bullock, Jared Mark

Bullock, Jared Mark is an individual health care provider with primary practice located at 25 Wareham St Bldg 4 , Middleboro MA 02346-2456. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Bullock, Jared Mark can be contacted via phone (508) 465-0417.

Contact Information

Primary practice address
25 Wareham St Bldg 4 Middleboro MA 02346-2456
Phone: (508) 465-0417
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Massachusetts

Profile Details

NPI number 1184107930
LBN Legal business name Bullock, Jared Mark
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2018
Last updated Sep 7th, 2018 - about 7 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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