IndividualActive
Khari Shabazz-Bullen
NPI 1053127167 · Behavior Technician · Fayetteville, GA
Khari Shabazz-Bullen is a Behavior Technician provider in Fayetteville, GA (NPI 1053127167).
Provider details
- NPI number
- 1053127167
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(49/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
108 Marron Rd
Fayetteville, GA 30215-5020
Phone: (518) 646-3070
Street-level locationGet directions
Mailing address
108 Marron Rd
Fayetteville, GA 30215-5020
Registry dates
- Enumerated
- 2024-12-04
- Last updated
- 2024-12-04
- Certified
- 2024-12-04
Frequently asked questions
- What is Khari Shabazz-Bullen's NPI number?
- Khari Shabazz-Bullen's National Provider Identifier (NPI) is 1053127167, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Khari Shabazz-Bullen's specialty?
- Khari Shabazz-Bullen is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Khari Shabazz-Bullen located?
- Khari Shabazz-Bullen's practice location on file with NPPES is 108 Marron Rd, Fayetteville, GA 30215-5020.
- What is Khari Shabazz-Bullen's phone number?
- The practice phone number listed in the NPPES registry for Khari Shabazz-Bullen is (518) 646-3070.
- Is Khari Shabazz-Bullen's NPI active?
- Yes — Khari Shabazz-Bullen's NPI (1053127167) is active in the NPPES registry as of the last update on 2024-12-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.