Mollie Mikayla Fulton

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1750 Thornapple Cir
Valparaiso, IN 46385-6164

Phone

(219) 462-1214

NPI assigned

Mar 26, 2025

Last updated

Mar 26, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1396547626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 CENTER ST",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463854103",
            "telephone_number": "219-779-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 THORNAPPLE CIR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463856164",
            "telephone_number": "219-462-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "MOLLIE",
        "middle_name": "MIKAYLA",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noel Frigo, APRN
• Cristina Froah
• Lori Ann Fuentes, MSW
• Full Gospel
• Full Gospel (Buttercup)
• Ashley Gacsy, NP-C
• Raymond Claudious Gager II, P.T.
• Colin Gallagher
• Madison Gallagher
• Rafael Gamez-Hernandez

• Behavior Technician in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Behavior Technician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.

Verify at the official NPI Registry.