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Individual

MARAI FULLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
21827 SIERRA LONG DR, RICHMOND, TX 77407-4999
(832) 356-0695
Mailing address
21827 SIERRA LONG DR, RICHMOND, TX 77407-4999
(832) 356-0695

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-13-14671
CA
103K00000X
Behavior Analyst
Primary
2190
TX

Other

Enumeration date
04/29/2014
Last updated
11/23/2021
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