Desirae L Fuller
Desirae L Fuller is a Behavior Technician in Roswell, New Mexico. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
500 W Brasher Rd Trlr 103Roswell, NM 88203-5303
Phone: (575) 840-4359
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1992331136 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 19, 2020 |
| Last updated in NPPES | March 24, 2020 |
| Certification date | March 24, 2020 |
| Mailing address | 500 W Brasher Rd Trlr 103, Roswell, NM 88203-5303 |
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