Taylor Brooke Fuller, RBT
Individual provider Active NPI Behavior Technician · Chipley, FL
NPI 1699458786 · NPPES record last updated Aug 7, 2023
Key facts
- NPI
- 1699458786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1691 Main St Ste 2
Chipley, FL 32428-6959 - Phone
- (850) 710-0741
- NPI assigned
- Aug 7, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1691 Main St Ste 2
Chipley, FL 32428-6959
Mailing address
415 N Jackson Blvd # R
Panama City Beach, FL 32407-3664
Phone (850) 710-0741
Other providers in Chipley, FL
- Florida Department of Health
- Florida Woman Care, LLC
- Alison Tate Freeman
- Dawn Rene Frost
- Melissa Dawn Fuller
- Suzan Mills Gage
- William Mark Garney
- Mallory Gay
- Geri-Care Assisted Living & Rehabilitative Center
- Norma B Gilo
All providers in Chipley, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.