Individual provider · Type 1 NPI

Delaney Fullenkamp

Behavior Analyst · Malverne, NY

NPI number 1619697133 Active

Practice location

341 Trinity St
Malverne, NY 11565-1234

Call (219) 608-2190 Map

Mailing address

1429 E Monroe St
South Bend, IN 46615-1005

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center	261QM1300X	521984 (IN)
Behavior Analyst Primary	103K00000X	005222 (NY)

Behavior 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…

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About NPI 1619697133

Delaney Fullenkamp's National Provider Identifier is 1619697133, issued on Sep 2, 2022. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Malverne, NY. The record was last updated on Oct 16, 2026.