Samantha Elizeth Fuller

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

8616 La Tijera Blvd Ste 408
Los Angeles, CA 90045-3950

Phone

(310) 337-7827

NPI assigned

Jul 14, 2025

Sex

Female

Sole proprietor

Yes

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": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1972494425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 1/2 E 117TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900592605",
            "telephone_number": "213-334-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8616 LA TIJERA BLVD STE 408",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453950",
            "telephone_number": "310-337-7827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULLER",
        "first_name": "SAMANTHA",
        "middle_name": "ELIZETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Elizabeth Fuller, PT
• Laura Marie Fuller, MFT INTERN
• M. Camille Fuller, D.D.S.
• Myesha Fuller, CMT
• Perry Fuller
• Solomon Fuller
• Fullfill, Inc.
• Howard J. Fullman, MD
• Mellisa Fulmer
• Tyequighae Fulton

• Behavior Technician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.