Individual
ERIN BULLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 PARK CROSSING WAY NW, LILBURN, GA 30047-7167
(718) 290-6460
Mailing address
1709 PARK CROSSING WAY NW, LILBURN, GA 30047-7167
(718) 290-6460
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
10/08/2025
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