Individual
MICHELLE FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 DICKERSON PIKE, NASHVILLE, TN 37207-5054
(615) 262-6725
Mailing address
1900 TINNIN RD APT F19, GOODLETTSVILLE, TN 37072-4276
(615) 491-7715
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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