Chantelle S Fuller, BCBA
Behavior Analyst in Lawrenceville, GA. Individual provider (NPI-1).
NPI number1669957320
StatusActive
Last updated in NPPESOct 21, 2019
Details
- NPI
- 1669957320
- Entity type
- Individual (NPI-1)
- Name
- Chantelle S Fuller
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 28, 2018
- Last updated
- Oct 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-18-31744 | GA | Yes |
Practice location
805 Donington CirLawrenceville, GA 30045
Phone 770-371-9984
Mailing address
805 Donington CirLawrenceville, GA 30045-3579
Phone 770-371-9984
Other practice locations
2450 Atlanta Hwy Ste 901
Cumming, GA 30040-1252
Cumming, GA 30040-1252
Phone 470-228-8980 · Fax 833-255-5667
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All 95 Behavior Analyst providers in Lawrenceville · All 5,967 providers in Lawrenceville
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