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

Individual provider Behavior Technician · NPI 1104383355

Dalisa Simone Fuller is a Behavior Technician in Cary, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
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Practice location Address checks out

111 Mackenan Dr
Cary, NC 27511-7903
Phone: (980) 819-0010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1104383355
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 25, 2019
Last updated in NPPESFebruary 25, 2019

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