Jacob Matthew Fuller
Jacob Matthew Fuller is a Behavior Technician in Gardena, California. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
1508 W Artesia Sq Apt BGardena, CA 90248-4773
Phone: (800) 249-8775
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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 | 1376175646 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 5, 2020 |
| Last updated in NPPES | February 5, 2020 |
| Certification date | February 5, 2020 |
| Mailing address | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 |
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