MICHAEL EUGENE FULLER (NPI# 1568777811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568777811 |
| Entity Type | Individual |
| Full Name | MICHAEL EUGENE FULLER |
| Credential | MS |
| Practice Address |
1743 Gay Dr Orlando FL 32803-1914 |
| Practice Telephone | 4077167669 |
| Mailing Telephone | 4077167669 |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2017-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
IMH 5580 | FL | Behavioral Health & Social Service Providers |
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013577667 | Michael Fuller | Licensed Practical Nurse | 1539 Cuba Rd, Mayfield, KY 42066-6809 | 2019-06-17 |
| 1376027508 | Michael Fuller | Case Manager/Care Coordinator | 3284 N Bend Rd Ste 108, Cincinnati, OH 45239-7688 | 2018-09-24 |
| 1144638594 | Michael Fuller | Counselor | 777 Silver Oak Dr Apt D117, Carson City, NV 89706-1908 | 2014-07-30 |
| 1972816221 | Michael Daniel Fuller | Dentist | 7760 W Voice of America Park Dr Ste A, West Chester, OH 45069-3371 | 2010-07-15 |
| 1245461300 | Michael Fuller | Chiropractor | 1143 Kildaire Farms Rd, Cary, NC 27511-4563 | 2009-08-06 |
| 1972519049 | Michael Fuller | Dentist | 7650 Currell Blvd Ste 200, Woodbury, MN 55125-8209 | 2006-07-31 |
| 1881218303 | Michael Fuller | Health Educator | 3411 Division Dr, West Plains, MO 65775-5789 | 2020-06-01 |
| 1609498302 | Michael L Fuller | Psychologist | 205 N 7th St, Zanesville, OH 43701-3791 | 2020-05-15 |
| 1780044586 | Michael Fuller | General Practice | 6490 Main St, Ste 1, Williamsville, NY 14221-5853 | 2016-03-07 |
| 1083084115 | Michael Fuller | Counselor | 1100 N D St, San Bernardino, CA 92410-3524 | 2015-10-01 |
| Street Address |
1743 GAY DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114426400 | Fuller & Associates, LLC | Clinic/Center | 1743 Gay Dr, Orlando, FL 32803-1914 | 2018-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770860 | Kailye L Marsh | Behavior Technician | 768 E Michigan St Unit 75, Orlando, FL 32806-4682 | 2020-11-04 |
| 1740887397 | Sabrina Nicole Demski | Behavior Technician | 11476 S Apopka Vineland Rd Unit 118, Orlando, FL 32836-7006 | 2020-10-07 |
| 1609482728 | Maria Belen Bengolea | Behavior Technician | 10920 Moss Park Rd. Suite 130, Orlando, FL 32832 | 2020-09-23 |
| 1053927558 | Moesha Young | Behavior Technician | 907 Outer Rd Ste D, Orlando, FL 32814-6601 | 2020-09-20 |
| 1053926733 | Sylvia Marie Stecher | Behavior Technician | 6831 Slaven Dr, Orlando, FL 32819-4725 | 2020-09-10 |
| 1104430230 | Liliana M. Felipe | Behavior Technician | 12221 E Colonial Dr, Orlando, FL 32826-4718 | 2020-09-05 |
| 1952915696 | Thalia Corrales Pino | Behavior Technician | 5962 Village Cir # 5962, Orlando, FL 32822-4130 | 2020-09-01 |
| 1578175584 | Yansel Rosado Ocasio | Behavior Technician | 14001 Sanctuary Creek Way Unit 303, Orlando, FL 32832-6615 | 2020-08-20 |
| 1407467103 | Cayla Thomas | Behavior Technician | 1728 E Crystal Lake Ave, Orlando, FL 32806-4906 | 2020-08-14 |
| 1689284135 | Maria Isabel Primera | Behavior Technician | 8617 E Colonial Dr Ste 1600, Orlando, FL 32817-3937 | 2020-08-08 |
| Find all providers in ORLANDO | ||||
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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.