Jesse Andrew Fullen, BCBA Valid NPI

Individual provider · Behavior Analyst · Huntington Beach, CA

NPI

1164921219

Type

Individual (Type 1)

Primary specialty

Behavior Analyst

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

103K00000X

License number

1-19-36265 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2018-02-05

Last updated

2021-04-06