AMY FULLER (NPI# 1417323965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417323965 |
| Entity Type | Individual |
| Full Name | AMY FULLER |
| Practice Address |
2447 Pacific Coast Hwy Hermosa Beach CA 90254-2714 |
| Practice Telephone | 3103743300 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-14-15992 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235559121 | Amy Margaret Fuller | Nurse Practitioner | 34 Bayview Ave, Danvers, MA 01923-3214 | 2014-04-18 |
| 1518157080 | Amy Jo Fuller | Dentist | 3060 Avenue B, Suite A, Billings, MT 59102 | 2007-07-30 |
| 1538227319 | Amy Fuller | Dentist | 247 Portland Street, Yarmouth, ME 04096 | 2006-12-05 |
| 1366915811 | Amy Lynn Fuller | Speech-Language Pathologist | 2011 Broadway St Ste 130, Pearland, TX 77581-5945 | 2019-01-08 |
| 1013432343 | Amy Marie Fuller | Behavioral Analyst | 120 Theresa Ave, American Canyon, CA 94503-9654 | 2017-08-08 |
| 1366898710 | Amy Fuller | Emergency Medicine | 628 E 12th St, Washington, NC 27889-3409 | 2016-05-04 |
| 1396105938 | Amy Fuller | Behavioral Analyst | 140 High St, Carver, MA 02330-1016 | 2016-02-24 |
| 1700073673 | Amy Beth Fuller | Dietitian, Registered | 1081 N China Lake Blvd, Ridgecrest, CA 93555-3130 | 2007-09-25 |
| 1184730756 | Amy M Fuller | Counselor | 1380 Pantheon Way, #310, San Antonio, TX 78232 | 2006-08-23 |
| Street Address |
2447 PACIFIC COAST HWY |
| City | HERMOSA BEACH |
| State | CA |
| Zip Code | 90254-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962726752 | Firststeps for Kids, Inc. | Early Intervention Provider Agency | 2447 Pacific Coast Hwy, Suite 111, Hermosa Beach, CA 90254-2714 | 2010-03-23 |
| 1649825175 | Madison Mckinley | Behavior Technician | 2447 Pacific Coast Hwy, Hermosa Beach, CA 90254-2714 | 2019-08-01 |
| 1215411673 | Ramona Cortez | Behavior Technician | 2447 Pacific Coast Hwy, Hermosa Beach, CA 90254-2714 | 2018-09-21 |
| 1407386436 | Michelle Marie Schmidt | Behavioral Analyst | 2447 Pacific Coast Hwy, Hermosa Beach, CA 90254 | 2017-06-13 |
| 1497203319 | Sarah Ashley Bolla | Behavioral Analyst | 2447 Pacific Coast Hwy, Suite 111, Hermosa Beach, CA 90254-2714 | 2016-09-20 |
| 1760833867 | Cristina Elizabeth Moore | Behavioral Analyst | 2447 Pacific Coast Hwy, Suite 111, Hermosa Beach, CA 90254-2714 | 2016-06-29 |
| 1851748107 | Breanna Mosca | Behavioral Analyst | 2447 Pacific Coast Hwy, Suite 111, Hermosa Beach, CA 90254-2714 | 2016-05-17 |
| 1811369515 | Elia Lonestar | Behavioral Analyst | 2447 Pacific Coast Hwy, Hermosa Beach, CA 90254-2714 | 2015-10-21 |
| 1972974913 | Heather Bae | Behavioral Analyst | 2447 Pacific Coast Hwy, Hermosa Beach, CA 90254-2714 | 2015-10-16 |
| 1326419672 | Kristine Taylor Brady | Behavioral Analyst | 2447 Pacific Coast Hwy, Suite 111, Hermosa Beach, CA 90254-2714 | 2015-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316501356 | Brianna Naomi Munoz | Behavioral Analyst | 1601 Ca-1, Suite 175, Hermosa Beach, CA 90254 | 2019-04-25 |
| 1134681430 | Duyen Thi Dinh | Pharmacist | 155 Ca-1, Hermosa Beach, CA 90254 | 2019-04-04 |
| 1407312978 | Evelyn Michelle Escobar | Behavior Technician | 1601 Ca-1, Ste 175, Hermosa Beach, CA 90254 | 2019-02-20 |
| 1124598750 | Maria Inaty | Behavioral Analyst | 2447 Pacific Coast Hwy Suite 111, Hermosa Beach, CA 90254 | 2018-11-27 |
| 1023508538 | Melissa Solis | Acupuncturist | 727 2nd Street, #107, Hermosa Beach, CA 90254 | 2018-05-10 |
| 1700319316 | Anna Raymond | Dentist | 1559 Pacific Coast Hwy Ste 101, Hermosa Beach, CA 90254 | 2017-04-10 |
| 1588916506 | Layla Olive | Speech-Language Pathologist | 2132 Monterey Blvd, Apt B, Hermosa Beach, CA 90254 | 2012-10-15 |
| 1588894307 | Linda E. Brochert-saker | Marriage & Family Therapist | 2200 Pacific Coast Hwy. #208, Hermosa Beach, CA 90254 | 2009-07-15 |
| 1689816050 | Blue Water Endeavors, Inc. | Home Health | 13405 Inglewood Avenue, Suite 6, Hawthorne, CA 90254 | 2009-04-01 |
| 1043408420 | Brandon Hyatt | Marriage & Family Therapist | 263 27th Court, Hermosa Beach, CA 90254 | 2007-10-10 |
| Find all providers in zip 90254 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578197737 | Jason Gray | Behavioral Analyst | 49 Pier Ave Ste B, Hermosa Beach, CA 90254-3776 | 2020-02-26 |
| 1639723133 | Kaylee Love Buckner | Behavioral Analyst | 1856 Rhodes St, Hermosa Beach, CA 90254-3150 | 2019-08-01 |
| 1194377606 | Nicole Werdesheim | Behavioral Analyst | 2150 Beach Dr Apt A, Hermosa Beach, CA 90254-2881 | 2019-07-15 |
| 1316501356 | Brianna Naomi Munoz | Behavioral Analyst | 1601 Ca-1, Suite 175, Hermosa Beach, CA 90254 | 2019-04-25 |
| 1881165256 | Rayshelle Leah Lamp | Behavioral Analyst | 1601 Pacific Coast Hwy Ste 175, Hermosa Beach, CA 90254-3270 | 2018-12-11 |
| 1124598750 | Maria Inaty | Behavioral Analyst | 2447 Pacific Coast Hwy Suite 111, Hermosa Beach, CA 90254 | 2018-11-27 |
| 1235631458 | Angela Gosselin | Behavioral Analyst | 1256 1st Pl, Hermosa Beach, CA 90254-5303 | 2018-03-03 |
| 1518369982 | Janine Strack | Behavioral Analyst | 2447 Pacific Coast Hwy Ste 111, Hermosa Beach, CA 90254-2743 | 2014-09-17 |
| 1194326181 | Stephanie Ortez | Behavioral Analyst | 2615 Pacific Coast Hwy Ste 300, Hermosa Beach, CA 90254-2227 | 2020-11-05 |
| 1326645110 | Haley Neff | Behavioral Analyst | 1601 Pacific Coast Hwy Ste 175, Hermosa Beach, CA 90254-3270 | 2020-10-05 |
| Find all providers in HERMOSA BEACH | ||||
| City | HERMOSA BEACH |
| Zip Code | 90254 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.