Individual
MS. TAYLOR D FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 SPENRYN DR, MADISON, AL 35758-1890
(256) 520-3624
Mailing address
100 SPENRYN DR, MADISON, AL 35758-1890
(256) 520-3624
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-288331
AL
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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