Jameil Fullwood
Behavior Technician in Aberdeen, MD. Individual provider (NPI-1).
NPI number1336075894
StatusActive
Last updated in NPPESJun 22, 2026
Details
- NPI
- 1336075894
- Entity type
- Individual (NPI-1)
- Name
- Jameil Fullwood
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 22, 2026
- Certification date
- Jun 22, 2026
- Last updated
- Jun 22, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | 10274026073 | MD | Yes |
Practice location
818 Long Dr Apt 432Aberdeen, MD 21001-1147
Phone 443-240-6267
Mailing address
818 Long Dr Apt 432Aberdeen, MD 21001-1147
Phone 443-240-6267
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 8 Behavior Technician providers in Aberdeen · All 567 providers in Aberdeen
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