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

Individual provider Behavior Technician · NPI 1679436885

Shantel Althea Bullock, RBT is a Behavior Technician in Columbia, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2025
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

716 Zimalcrest Dr Apt 2314
Columbia, SC 29210-6582
Phone: (404) 924-6220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-23-314405 (SC)

Record details

NPI number1679436885
Entity typeIndividual (Type 1)
GenderFemale
Credentials RBT
Sole proprietorYes
NPI enumeratedDecember 4, 2025
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025

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