Jacob Fuller
Jacob Fuller is a Behavior Technician in Fort Walton Beach, Florida. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
103 Lewis StFort Walton Beach, FL 32547-3142
Phone: (850) 362-6824
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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 | 1780159616 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 8, 2018 |
| Last updated in NPPES | October 8, 2018 |
| Mailing address | 103 Lewis St, Fort Walton Beach, FL 32547-3142 |
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