Active NPI
Erin Fuller
- Behavior Technician
- El Paso, TX
National Provider Identifier
1295372720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 725 S Mesa Hills Dr BLDG 3
El Paso, TX 79912-5568 - Phone
- (915) 760-4147
- NPI assigned
- Dec 3, 2019
- Last updated
- May 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NU | Primary |
Addresses
Primary practice location
725 S Mesa Hills Dr BLDG 3
El Paso, TX 79912-5568
Mailing address
16782 Von Karman Ave Ste 11
Irvine, CA 92606-2417
Phone (949) 833-2237
Other practice location 1
27777 Inkster Rd
Farmington Hills, MI 48334-5326
Phone (248) 436-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590451200000",
"number": "1295372720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16782 VON KARMAN AVE STE 11",
"city": "IRVINE",
"state": "CA",
"postal_code": "926062417",
"telephone_number": "949-833-2237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 S MESA HILLS DR BLDG 3",
"city": "EL PASO",
"state": "TX",
"postal_code": "799125568",
"telephone_number": "915-760-4147"
}
],
"practiceLocations": [
{
"address_1": "27777 Inkster Rd",
"address_purpose": "LOCATION",
"city": "Farmington Hills",
"state": "MI",
"postal_code": "483345326",
"country_code": "US",
"telephone_number": "248-436-4400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FULLER",
"first_name": "ERIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-03",
"last_updated": "2020-05-26",
"certification_date": "2020-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
- Full Smile Dental Ark PLLC
- Full Smile Dental Ark PLLC
- Full Smile Viscount Endodontic Group, PLLC
- Full Smile Zaragoza Endodontic Group, PLLC
- Crystal Elizabeth Fuller, NP
- Matthew Robert Fulton II, MD
- Natasha Furchtgott, DDS
- Rodrigo Furlan Silva Fabri, M.D.
- Joseph Brian Furlong, MD
- Floriza Fuson-Chandler, LMSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.