Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackson Bullard

Individual provider Behavior Technician · NPI 1629991948

Jackson Bullard is a Behavior Technician in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2026.

Licensed in
NC
In the registry since
2026

Practice location Address checks out

2101 Cambridge Beltway Dr Ste E
Charlotte, NC 28273-4351
Phone: (615) 560-6622
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-24-381450 (NC)

Record details

NPI number1629991948
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 3, 2026
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

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