Jamie Jo Fulstone

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

14700 Manzanita Park Rd
Beaumont, CA 92223

Phone

(951) 845-3155

Fax

(951) 845-8412

NPI assigned

May 2, 2012

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": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335916800000",
    "number": "1730447202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14700 MANZANITA PARK RD",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "92223",
            "telephone_number": "951-845-3155",
            "fax_number": "951-845-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 MANZANITA PARK RD",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "92223",
            "telephone_number": "951-845-3155",
            "fax_number": "951-845-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULSTONE",
        "first_name": "JAMIE",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Focus Vision Clinic Optometry Inc
• Julienne Audra Foronda
• Lacy Jean Francis
• Donna Freeman
• Michael Charles Fuller Jr.
• Gabrielle Hospice and Palliative
• Nagaraju Gajawada
• Marisol Galarza, RN
• Judy Ann Galipean
• Michael Galipean

• Behavior Analyst in Beaumont, CA
• Providers in Beaumont, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.