Individual
ASHA ANJALI FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1515 E CEDAR AVE STE A-6, FLAGSTAFF, AZ 86004-1630
(800) 771-9889
Mailing address
PO BOX 86537, TUCSON, AZ 85754-6537
(520) 721-1887
(520) 372-7126
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-001714
AZ
Other
Enumeration date
09/17/2024
Last updated
01/14/2025
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