BREANNA BULLOCK
NPI 1699597062
Behavior Technician in Chicago, IL

Active since October 28, 2024
3319 N ELSTON AVE, CHICAGO, IL 60618(312) 733-0833 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Breanna Bullock NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREANNA BULLOCK (NPI 1699597062) is an individual behavior technician in Chicago, Illinois and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1699597062
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameBREANNA BULLOCK
Location Address3319 N ELSTON AVEChicago, IL 60618-5811
Mailing Address16643 Wedgewood AveMarkham, IL 60428-5347 · (708) 541-9929
Sole ProprietorNo
Enumeration DateOctober 28, 2024
NPPES CertifiedOctober 28, 2024
NPI 1699597062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

3319 N ELSTON AVE, Chicago, IL 60618

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
3319 N ELSTON AVE, SUITE # 200
CHICAGO, IL 60618
Internal Medicine (Geriatric Medicine)
3319 N ELSTON AVE, SUITE 100
CHICAGO, IL 60618
Internal Medicine (Geriatric Medicine)
3319 N ELSTON AVE, SUITE 100
CHICAGO, IL 60618
Podiatrist (Primary Podiatric Medicine)
3319 N ELSTON AVE, SUITE 100
CHICAGO, IL 60618
Nurse Practitioner (Family)
3319 N ELSTON AVE, SUITE #100
CHICAGO, IL 60618
Internal Medicine (Geriatric Medicine)
3319 N ELSTON AVE, SUITE 100
CHICAGO, IL 60618
Internal Medicine (Geriatric Medicine)
3319 N ELSTON AVE, SUITE 100
CHICAGO, IL 60618
Podiatrist (Primary Podiatric Medicine)
3319 N ELSTON AVE, SUITE 100
CHICAGO, IL 60618

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699597062, enumerated as an "individual" on October 28, 2024.

The provider is located at 3319 N ELSTON AVE CHICAGO, IL 60618 and the phone number is (312) 733-0833.

Behavior Technician with taxonomy code 106S00000X.