Active NPI
Marai Fuller, BCBA
- Behavior Analyst
- Richmond, TX
National Provider Identifier
1861802969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 2190
- Practice address
- 21827 Sierra Long Dr
Richmond, TX 77407-4999 - Phone
- (832) 356-0695
- NPI assigned
- Apr 29, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-13-14671 | CA | |
| Behavior Analyst | 103K00000X | 2190 | TX | Primary |
Addresses
Primary practice location
21827 Sierra Long Dr
Richmond, TX 77407-4999
Mailing address
21827 Sierra Long Dr
Richmond, TX 77407-4999
Phone (832) 356-0695
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2190 | TX | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guiding Light Behavioral Therapies LLC | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Richmond, TX
- NPI 1275067548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1861802969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21827 SIERRA LONG DR",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774074999",
"telephone_number": "832-356-0695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21827 SIERRA LONG DR",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774074999",
"telephone_number": "832-356-0695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLER",
"first_name": "MARAI",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-29",
"last_updated": "2021-11-23",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-13-14671",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "2190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.