Individual
ALISA SCOTT FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
121 INTERPARK BLVD STE 104, SAN ANTONIO, TX 78216-1844
(888) 754-0398
Mailing address
19479 BABCOCK RD APT 10003, SAN ANTONIO, TX 78255-2543
(210) 919-4040
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-413841
TX
Other
Enumeration date
08/23/2025
Last updated
08/23/2025
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