Individual
FAITH MAIKENNA FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
204 SE STONEMILL DR STE 270, VANCOUVER, WA 98684-3509
(360) 622-2253
(833) 619-0713
Mailing address
204 SE STONEMILL DR STE 270, VANCOUVER, WA 98684-3509
(360) 622-2253
(833) 619-0713
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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