Individual
AMBER FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
152 HIGHWAY 7 S, OXFORD, MS 38655-5392
(662) 234-7521
(662) 236-3071
Mailing address
152 HIGHWAY 7 S, OXFORD, MS 38655-5392
(662) 234-7521
(662) 236-3071
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
1-23-64305
—
106S00000X
Behavior Technician
—
FL
Other
Enumeration date
02/25/2019
Last updated
04/26/2024
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