Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSE ANDREW FULLEN, BCBA
ActiveJESSE ANDREW FULLEN, BCBA is a Behavior Analyst healthcare provider located in HUNTINGTON BEACH, California. NPI 1164921219 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · HUNTINGTON BEACH, CA
Registration Details
- NPI Number
- 1164921219
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 5, 2018 (8.5198022035028 yrs)
- Last Updated
- Apr 6, 2021
- License
-
1-19-36265 (CA)
Practice Information
- Address
-
18685 MAIN ST STE 101-459HUNTINGTON BEACH, CA, 926481723Browse CA providers · Browse ZIP 92648
- Phone
- 7146971907
- Fax
- 8449040895
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in HUNTINGTON BEACH, CA
| Name | Credential | NPI |
|---|---|---|
| YUKARI TAGAWA WHITFIELD | BCBA | 1588937502 |
| JAIME FLOWERS | M.A., BCBA | 1669748588 |
| NICOLE M RARIDON | BCBA | 1346507225 |
| HOWARD TSERNOV | BCBA | 1114273265 |
| WYNNETTE CEREZO MARQUEZ | BCBA | 1346591195 |
| LANA RANCH | — | 1770827610 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.