Taylor Brooke Fuller, RBT
Behavior Technician in Chipley, FL. Individual provider (NPI-1).
NPI number1699458786
StatusActive
Last updated in NPPESAug 7, 2023
Details
- NPI
- 1699458786
- Entity type
- Individual (NPI-1)
- Name
- Miss Taylor Brooke Fuller
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2023
- Certification date
- Aug 7, 2023
- Last updated
- Aug 7, 2023
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 | – | – | Yes |
Practice location
1691 Main St Ste 2Chipley, FL 32428-6959
Phone 850-710-0741
Mailing address
415 N Jackson Blvd # RPanama City Beach, FL 32407-3664
Phone 850-710-0741
Is something wrong?
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.
Other Behavior Technician providers in Chipley, FL
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- Misty Colston, RBTNPI 1699244426
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- Soketa Nomic JohnsonNPI 1730612870
- Jessica Nicole Nisby, RBTNPI 1124757380
All 7 Behavior Technician providers in Chipley · All 210 providers in Chipley
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