Fullness of Life ABA Services LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

FULLNESS OF LIFE ABA SERVICES LLC

Practice address

6925 Lake Ellenor Dr Ste 102a
Orlando, FL 32809-4661

Phone

(754) 272-5688

NPI assigned

Jan 18, 2024

Organization subpart

No

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

Authorized official

Name

Mayassar NasserNPI 1841648193

Title

Ceo

Phone

(754) 272-5688

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mayassar Nasser

  • Behavior Analyst
  • West Palm Beach, FL
  • NPI 1841648193
  NPD Authorized official

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1568223402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6925 LAKE ELLENOR DR STE 102A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6925 LAKE ELLENOR DR STE 102A",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094661",
            "telephone_number": "754-272-5688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLNESS OF LIFE ABA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "NASSER",
        "authorized_official_first_name": "MAYASSAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "754-272-5688"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Eugene Fuller, MS
• Sabrina Misty Fuller
• Veronica Fuller
• Brenna Sullivan Fullerton, M.D.
• Shannia Fullerton
• Fullness of Life Kid'S LLC
• Mary Fullon, RN
• Jennifer Fullwood
• Madeline Fulmer
• Mary Alice Fulmer, DNP, ARNP, FNP-C

• Behavior Analyst in Orlando, FL
• Providers in Orlando, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; 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.