Individual provider · NPI-1
Shaquanna Jaleel Fulton, MSP, CBE
Behavior Technician · Farmington Hills, MI
NPI number1114690682
StatusActive
Last updated in NPPESMay 5, 2022
Details
- NPI
- 1114690682
- Entity type
- Individual (NPI-1)
- Name
- Shaquanna Jaleel Fulton
- Credential
- MSP, CBE
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 29, 2021
- Certification date
- May 5, 2022
- Last updated
- May 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – | |
| 374J00000X | Doula | – | – |
Other names
- Shaquanna Fulton (Professional Name)
Practice location
27777 Inkster RdFarmington Hills, MI 48334-5310
Phone 248-435-6561
Mailing address
27777 Inkster RdFarmington Hills, MI 48334-5310
Phone 248-436-4400
Other practice locations
232 Cornell Dr
Woodsboro, MD 21798-8913
Woodsboro, MD 21798-8913
Phone 240-578-7173
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