Individual
AMY FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2305 ARLINGTON AVE S, BIRMINGHAM, AL 35205-4111
(205) 957-0294
Mailing address
2305 ARLINGTON AVE S, BIRMINGHAM, AL 35205-4111
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-15992
CA
Other
Enumeration date
08/19/2015
Last updated
05/10/2022
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