Teil Fuller

NPI #1043700297 in Florence, South Carolina

Provider Information

NPI Number: 1043700297
Entity Type: Individual
Name: Teil Fuller
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 14, 2018
Last Updated: May 14, 2018

Practice Location

Address: 444 2ND LOOP RD
City: Florence
State: South Carolina
ZIP Code: 29505-2814
Phone: (843) 536-8674

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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