Healthcare Provider Details

I. General information

NPI: 1215842893
Provider Name (Legal Business Name): MS. ABIGAIL LYNN BULOCK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. ABBY LYNN BULOCK

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14301 FNB PKWY
OMAHA NE
68154-7200
US

IV. Provider business mailing address

230 N PRAIRIE AVE APT 3
SIOUX FALLS SD
57104-2977
US

V. Phone/Fax

Practice location:
  • Phone: 402-698-4026
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: