Individual
CRAIG FULSTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
8950 CAL CENTER DR STE 137, SACRAMENTO, CA 95826-3236
(866) 523-4268
Mailing address
DEPT LA 22763, PASADENA, CA 91185-2763
(866) 523-4268
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59785
CA
Other
Enumeration date
08/07/2018
Last updated
12/02/2022
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