Mr. Courtney Fuller
Mr. Courtney Fuller is a Behavior Technician in Orange Park, Florida. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
1563 Kingsley Ave Ste 103Orange Park, FL 32073-4503
Phone: (904) 602-9740
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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 | 1568000909 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 17, 2019 |
| Last updated in NPPES | December 17, 2019 |
| Certification date | December 17, 2019 |
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