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Timothy H Bulger III, BCBA

Behavior Analyst in Lauderdale Lakes, FL. Individual provider (NPI-1).

NPI number1649760968
StatusActive
Last updated in NPPESMay 1, 2023

Details

NPI
1649760968
Entity type
Individual (NPI-1)
Name
Timothy H Bulger III
Credential
BCBA
Sex
Male
Sole proprietor
No
Enumeration date
May 11, 2018
Certification date
May 1, 2023
Last updated
May 1, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst1-21-50416FLYes
106S00000X Behavior Technician18-55199FL

Practice location

4620 N State Road 7 Ste 300
Lauderdale Lakes, FL 33319-5867

Phone 850-218-2249

Mailing address

4620 N State Road 7 Ste 300
Lauderdale Lakes, FL 33319-5867

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