Individual provider · Type 1 NPI

Jacob Fuller

Behavior Technician · Fort Walton Beach, FL

NPI number 1780159616 Active

Practice location

103 Lewis St
Fort Walton Beach, FL 32547-3142

Call (850) 362-6824 Map

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

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…

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About NPI 1780159616

Jacob Fuller's National Provider Identifier is 1780159616, issued on Oct 8, 2018. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Fort Walton Beach, FL. The record was last updated on Oct 8, 2018.