De'Andre S Fuller
De'Andre S Fuller is a Behavior Technician in Lutz, Florida. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
18288 N US Highway 41Lutz, FL 33549-4400
Phone: (813) 527-9638
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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 number | 1992203459 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 30, 2018 |
| Last updated in NPPES | January 30, 2018 |
| Mailing address | 18288 N Us Highway 41, Lutz, FL 33549-4400 |
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