Individual
MEGAN RAE FULTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
181 W PROFESSIONAL PARK CT, BOWLING GREEN, KY 42104-3250
(270) 843-5383
Mailing address
PO BOX 51322, BOWLING GREEN, KY 42102-5622
(270) 777-9283
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
171444
KY
Other
Enumeration date
09/30/2016
Last updated
11/29/2016
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