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

Samuel Fuller

Individual provider Behavior Technician · NPI 1003655945

Samuel Fuller is a Behavior Technician in Alexandria, Minnesota. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

59 Glenn Rd NW
Alexandria, MN 56308-4007
Phone: (320) 219-7644
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1003655945
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 21, 2024
Last updated in NPPESMay 21, 2024
Certification dateMay 21, 2024
Mailing address59 Glenn Rd Nw, Alexandria, MN 56308-4007

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