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

Jesse Andrew Fullen, BCBA

Individual provider Behavior Analyst · NPI 1164921219

Jesse Andrew Fullen, BCBA is a Behavior Analyst in Huntington Beach, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

18685 Main St Ste 101-459
Huntington Beach, CA 92648-1723
Phone: (714) 697-1907
Fax: (844) 904-0895
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-19-36265 (CA)

Record details

NPI number1164921219
Entity typeIndividual (Type 1)
GenderMale
Credentials BCBA
Sole proprietorNo
NPI enumeratedFebruary 5, 2018
Last updated in NPPESApril 6, 2021
Certification dateApril 6, 2021
Mailing address18685 Main St Ste 101-459, Huntington Beach, CA 92648-1723

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