IndividualActive
Kristen Bullock
NPI 1124739503 · Behavior Technician · Jacksonville, FL
Kristen Bullock is a Behavior Technician provider in Jacksonville, FL (NPI 1124739503).
Provider details
- NPI number
- 1124739503
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs 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
12276 San Jose Blvd Ste 508
Jacksonville, FL 32223-8618
Phone: (904) 886-3228
Fax: (904) 485-8876
Street-level locationGet directions
Mailing address
12276 San Jose Blvd Ste 508
Jacksonville, FL 32223-8618
Registry dates
- Enumerated
- 2022-12-07
- Last updated
- 2022-12-07
- Certified
- 2022-12-07
Frequently asked questions
- What is Kristen Bullock's NPI number?
- Kristen Bullock's National Provider Identifier (NPI) is 1124739503, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kristen Bullock's specialty?
- Kristen Bullock is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Kristen Bullock located?
- Kristen Bullock's practice location on file with NPPES is 12276 San Jose Blvd Ste 508, Jacksonville, FL 32223-8618.
- What is Kristen Bullock's phone number?
- The practice phone number listed in the NPPES registry for Kristen Bullock is (904) 886-3228.
- Is Kristen Bullock's NPI active?
- Yes — Kristen Bullock's NPI (1124739503) is active in the NPPES registry as of the last update on 2022-12-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.