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

Mr. Khari Shabazz-Bullen

Individual provider Behavior Technician · NPI 1053127167

Mr. Khari Shabazz-Bullen is a Behavior Technician in Fayetteville, Georgia. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

108 Marron Rd
Fayetteville, GA 30215-5020
Phone: (518) 646-3070
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1053127167
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 4, 2024
Last updated in NPPESDecember 4, 2024
Certification dateDecember 4, 2024

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