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

Thereasa Marie Bradley-Bullock, MPA

Individual provider Behavior Technician · NPI 1912521154

Thereasa Marie Bradley-Bullock, MPA is a Behavior Technician in Roanoke Rapids, North Carolina. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1119 Oakland St
Roanoke Rapids, NC 27870-3441
Phone: (252) 578-6744
Fax: (877) 352-0133
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 number1912521154
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPA
Sole proprietorNo
NPI enumeratedJune 3, 2020
Last updated in NPPESJune 3, 2020
Certification dateJune 3, 2020

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