SCHOLONDA SHANAE BULLARD
Complete NPI Record 1285104893
Behavior Technician in Houston, TX

NPI Status: Active since November 27, 2018

Contact Information

15703 LONGENBAUGH DR
HOUSTON, TX
ZIP 77095
Phone: (281) 258-4447

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Complete NPI Dataset

This page represents the complete record for NPI 1285104893. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1285104893
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Entity Type Code: 1
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider First Name: SCHOLONDA
The city name in the location address of the provider being identified.
Provider Middle Name: SHANAE
The State code in the location of the provider being identified.
Provider First Line Business Mailing Address: 15703 LONGENBAUGH DR
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Mailing Address City Name: HOUSTON
The country code in the location address of the provider being identified.
Provider Business Mailing Address State Name: TX
The telephone number associated with the location address of the provider being identified.
Provider Business Mailing Address Postal Code: 770951605
The date the provider was assigned a unique identifier (assigned an NPI).
Provider Business Mailing Address Country Code If outside U S : US
The date that a record was last updated or changed.
Provider Business Mailing Address Telephone Number: 2812584447
The code designating the provider’s gender if the provider is a person.
Provider First Line Business Practice Location Address: 15703 LONGENBAUGH DR
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider Business Practice Location Address City Name: HOUSTON
Provider Business Practice Location Address State Name: TX
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
Provider Business Practice Location Address Postal Code: 770951605
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 2812584447
The telephone number associated with the location address of the provider being identified.
Provider Enumeration Date: 11/27/2018
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 11/27/2018
The date that a record was last updated or changed.
Provider Gender Code: F
The code designating the provider’s gender if the provider is a person.
Healthcare Provider Taxonomy Code 1: 106S00000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: Y
Is Sole Proprietor: N
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No