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

Mrs. Tracey La Dawn Bullock, RBT

Individual provider Behavior Technician · NPI 1265948038

Mrs. Tracey La Dawn Bullock, RBT is a Behavior Technician in Portales, New Mexico. Licensed in New Mexico. Registered with an NPI since 2017.

Licensed in
NM
In the registry since
2017
What do these letters mean?
RBT — Registered Behavior Technician
Delivers behaviour therapy under a behaviour analyst's supervision.

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Practice location Address checks out

830 W 14th St
Portales, NM 88130-6708
Phone: (575) 825-1229
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-16-22817 (NM)

Record details

NPI number1265948038
Entity typeIndividual (Type 1)
GenderFemale
Credentials RBT
Sole proprietorNo
NPI enumeratedDecember 15, 2017
Last updated in NPPESDecember 15, 2017

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