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

Individual provider Behavior Technician · NPI 1952806309

Mary-Bianca Gabrielle Fuller is a Behavior Technician in Chicago, Illinois. Works from 2 locations. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2
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Practice location Address checks out

2000 N Racine Ave Ste 3300
Chicago, IL 60614-7008
Phone: (312) 485-3669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4152 30th Ave S Ste 104, Fargo, ND 58104-8403 — (701) 364-2663

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1952806309
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 28, 2018
Last updated in NPPESAugust 30, 2023
Certification dateAugust 30, 2023

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