Kaylee Arline Fuller

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

2821 W Horizon Ridge Pkwy Ste 130
Henderson, NV 89052-4429

Phone

(702) 840-1182

NPI assigned

May 8, 2023

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

Electronic endpoints 1

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": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1619666450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 W HORIZON RIDGE PKWY STE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524429",
            "telephone_number": "702-840-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 W HORIZON RIDGE PKWY STE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524429",
            "telephone_number": "702-840-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "KAYLEE",
        "middle_name": "ARLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@babaservicesllc.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2821 W Horizon Ridge Pkwy Ste 130",
            "city": "Henderson",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890524429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mariah Fuentes
• Iliana Esther Fuentez Osuna
• Ivana P. Fukumoto, NP-C
• Full Function Physical Therapy, LLC
• Imani S Fuller
• Peter Fuller, M.D.
• Staci Fuller
• Josephine Fulton
• Margie Noda Funcion
• Functional Neuro Rehab, LLC

• Behavior Technician in Henderson, NV
• Providers in Henderson, NV by specialty
• Behavior Technician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.