Rebecca Fulds

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1822 Spring Garden St
Philadelphia, PA 19130-4122

Phone

(215) 607-6835

NPI assigned

Jun 24, 2024

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": "1719187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1780428730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 PRINCE RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088164517",
            "telephone_number": "732-710-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 SPRING GARDEN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191304122",
            "telephone_number": "215-607-6835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULDS",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perrin Benet Smith Fugo, MD
• Tomoyasu Fuji, DDS
• Anastasia Fujii, LCSW
• Kimberly Beth Fuld, D.O.
• Margaret Fulda
• Haley Fulforth, AU.D
• Alyssa Grace Fulginiti, DO
• Full Circle Care LLC
• Full Circle Nutrition Therapy LLC
• Carissa Sharnetta Fuller, CRNP

• Behavior Technician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Behavior Technician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.