Tracey La Dawn Bullock, RBT
NPI 1265948038ActiveIndividual· Behavior Technician· Portales, NM
Behavior Technician (RBT) in Portales, New Mexico, licensed in NM, with an NPI issued in December 2017.
Overview
| NPI | 1265948038 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RBT |
| Sole proprietor | No |
| NPI issued | Dec 15, 2017 |
| Last updated in NPPES | Dec 15, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Technician Primary | 106S00000X | RBT-16-22817 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Behavior Technician providers in Portales
- 1376171025
- 1245877604
- 1447719323
- 1528551157
- 1770008500
- 1932792504
- 1477193076
- 1285103218