Individual
MRS. AMY FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA
Contact information
Practice address
31 HILLER RD, ROCHESTER, MA 02770-4024
(774) 454-1994
(508) 273-2353
Mailing address
140 HIGH ST, CARVER, MA 02330-1016
(617) 437-7762
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15081
MA
Other
Enumeration date
02/24/2016
Last updated
07/28/2022
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