Fuller, Michael Eugene

Fuller, Michael Eugene is an individual health care provider with primary practice located at 1743 Gay Dr , Orlando FL 32803-1914. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. Fuller, Michael Eugene can be contacted via phone (407) 716-7669.

Contact Information

Primary practice address
1743 Gay Dr Orlando FL 32803-1914
Phone: (407) 716-7669
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X IMH 5580 Florida
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1568777811
LBN Legal business name Fuller, Michael Eugene
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2010
Last updated Apr 11th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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