Theodis Fulmore JR.

NPI #1770105280 in Margate, Florida

Provider Information

NPI Number
1770105280
Entity Type
Individual
Name
Theodis Fulmore JR.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
May 7, 2020
Last Updated
May 7, 2020

Practice Location

Address
4959 SW 4TH ST
State
Florida
ZIP Code
33068-3103
Phone
(954) 825-3317

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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