NPI 1154685915

Erin Fullerton, SPEDMS

Practitioner Behavior Analyst Wantagh, NY

Practice location

Address: 3420 Woodward Ave, Wantagh, NY 11793-4032
Phone: (631) 512-9324

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 504539 (NY)

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Registry record

NPI: 1154685915
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jun 2012
Record last updated: 26 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.