Maxwell Dumstorff

Individual provider Active NPI Behavior Technician · Fulton, CA

NPI 1962367052 · NPPES record last updated Dec 19, 2025

Key facts

NPI
1962367052
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
PO Box 104
Fulton, CA 95439-0104
Phone
(707) 303-6266
NPI assigned
Dec 19, 2025
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Behavior Resources Inc Current
since Dec 21, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

PO Box 104
Fulton, CA 95439-0104

Mailing address

PO Box 104
Fulton, CA 95439-0104
Phone (707) 303-6266

Other providers in Fulton, CA

All providers in Fulton, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.