Active NPI
Summer Fulton, RBT
- Behavior Technician
- Merrillville, IN
National Provider Identifier
1366315632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-25-473704
- Practice address
- 99 E 86TH Ave Ste F
Merrillville, IN 46410-6267 - Phone
- (219) 472-8465
- NPI assigned
- Sep 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | RBT-25-473704 | IN | Primary |
Addresses
Primary practice location
99 E 86TH Ave Ste F
Merrillville, IN 46410-6267
Mailing address
99 E 86TH Ave Ste F
Merrillville, IN 46410-6267
Phone (219) 472-8465
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-25-473704 | IN | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Individual Piece ABA | Single Specialty | Current | Accepting new patients |
Locations
99 E 86th Ave
Ste C
Merrillville, IN 46410
Phone (219) 769-4061
99 E 86th Ave
Ste F
Merrillville, IN 46410
Phone (219) 213-9610
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1366315632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 E 86TH AVE STE F",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106267",
"telephone_number": "219-472-8465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 E 86TH AVE STE F",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106267",
"telephone_number": "219-472-8465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULTON",
"first_name": "SUMMER",
"credential": "RBT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-24",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "IN",
"license": "RBT-25-473704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.