Individual
ROBERT FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
39 E FRANKLIN ST, HAGERSTOWN, MD 21740-4914
(866) 287-2306
(888) 244-1718
Mailing address
16110 LOG ROW NW, MOUNT SAVAGE, MD 21545-1530
(301) 268-7640
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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