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

MS. Avery Jane Fasulo

Individual provider Behavior Technician · NPI 1124989298

MS. Avery Jane Fasulo is a Behavior Technician in Saint Petersburg, Florida. Licensed in Florida. Registered with an NPI since 2025.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

6465 1st Ave S
Saint Petersburg, FL 33707-1301
Phone: (813) 324-5730
Fax: (727) 499-5880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence BACB1378482 (FL)

Record details

NPI number1124989298
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 19, 2025
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing address226 22nd Ave N Apt 2, Saint Petersburg, FL 33704-4428

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