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

Mia Fuller

Individual provider Behavior Technician · NPI 1053009654

Mia Fuller is a Behavior Technician in Austin, Texas. Licensed in Texas. Registered with an NPI since 2023.

Licensed in
TX
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

11718 Metric Blvd
Austin, TX 78758-3203
Phone: (512) 265-3615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-22-234025 (TX)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1053009654
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 1, 2023
Last updated in NPPESMay 1, 2023
Certification dateMay 1, 2023
Mailing address7905 San Felipe Blvd Apt 232, Austin, TX 78729-7673

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