Alexandra Fuller

NPI #1609387059 in Shalimar, Florida

Provider Information

NPI Number: 1609387059
Entity Type: Individual
Name: Alexandra Fuller
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 12, 2017
Last Updated: Jan 28, 2025

Practice Location

Address: 15 10TH AVE
City: Shalimar
State: Florida
ZIP Code: 32579-1340
Phone: (850) 362-6824

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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