Shyanne N Fulton

NPI #1154183366 in Oregon, Illinois

Provider Information

NPI Number: 1154183366
Entity Type: Individual
Name: Shyanne N Fulton
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 24, 2024
Last Updated: Jun 16, 2025

Practice Location

Address: 503 S 4TH ST
City: Oregon
State: Illinois
ZIP Code: 61061-2001
Phone: (660) 492-9360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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