IndividualActive
Keshawn Bullock
NPI 1972456499 · Behavior Technician · San Jose, CA
Keshawn Bullock is a Behavior Technician provider in San Jose, CA (NPI 1972456499).
Provider details
- NPI number
- 1972456499
- 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(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
1887 Monterey Hwy Ste 225
San Jose, CA 95112-6192
Phone: (855) 223-7123
Fax: (619) 374-7134
Street-level locationGet directions
Mailing address
Po Box 740780
Atlanta, GA 30374-0780
Registry dates
- Enumerated
- 2026-02-16
- Last updated
- 2026-02-16
- Certified
- 2026-02-16
Frequently asked questions
- What is Keshawn Bullock's NPI number?
- Keshawn Bullock's National Provider Identifier (NPI) is 1972456499, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keshawn Bullock's specialty?
- Keshawn Bullock is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Keshawn Bullock located?
- Keshawn Bullock's practice location on file with NPPES is 1887 Monterey Hwy Ste 225, San Jose, CA 95112-6192.
- What is Keshawn Bullock's phone number?
- The practice phone number listed in the NPPES registry for Keshawn Bullock is (855) 223-7123.
- Is Keshawn Bullock's NPI active?
- Yes — Keshawn Bullock's NPI (1972456499) is active in the NPPES registry as of the last update on 2026-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.