Individual
REBECCA FULDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1822 SPRING GARDEN ST, PHILADELPHIA, PA 19130-4122
(215) 607-6835
Mailing address
17 PRINCE RD, EAST BRUNSWICK, NJ 08816-4517
(732) 710-8108
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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