CHANTELLE S FULLER (NPI# 1669957320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669957320 |
| Entity Type | Individual |
| Full Name | CHANTELLE S FULLER |
| Credential | BCBA |
| Practice Address |
805 Donington Cir Lawrenceville GA 30045 |
| Mailing Address |
805 Donington Cir Lawrenceville GA 30045-3579 |
| Practice Telephone | 7703719984 |
| Mailing Telephone | 7703719984 |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2019-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-18-31744 | GA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2450 Atlanta Hwy Ste 901, Cumming, GA 300401252 | 4702288980 | 8332555667 |
| Street Address |
805 DONINGTON CIR |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427691732 | Smiley Face Behavioral Therapy LLC | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045-3579 | 2019-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| 1073747697 | Code 3 Medical Transport | Ambulance | 938 Ashton Park Drive Se, Lawrenceville, GA 30045 | 2009-05-11 |
| Find all providers in zip 30045 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral 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. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053924043 | Anneka Ricketts | Behavioral Analyst | 2500 Brunswick Pike Ste 200, Lawrenceville, NJ 08648-4134 | 2020-08-28 |
| 1568082139 | Rachel Elizabeth Rider | Behavioral Analyst | 175 Gwinnett Dr Ste 300, Lawrenceville, GA 30046-8444 | 2020-04-23 |
| 1912544156 | Kids Talk Therapy | Behavioral Analyst | 1113 Town Square Ct, Lawrenceville, GA 30046-8379 | 2019-12-06 |
| 1083262836 | Denroc Enterprises LLC | Behavioral Analyst | 1070 Bridle Path Dr, Lawrenceville, GA 30045-8213 | 2019-08-26 |
| 1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
| 1134660996 | Jacqueline Nicole Lloyd | Behavioral Analyst | 3319 Sugarloaf Pkwy, Lawrenceville, GA 30044-5483 | 2017-03-13 |
| 1598204406 | Kay Woods | Behavioral Analyst | 600 Summerstone Ln, Lawrenceville, GA 30044-5494 | 2017-02-13 |
| 1962949628 | Rebekah Snow | Behavioral Analyst | 2387 Huntcrest Way, Lawrenceville, GA 30043 | 2017-01-19 |
| 1265834345 | Melissa Fortson | Behavioral Analyst | 1739 Legrand Cir, Lawrenceville, GA 30043-8184 | 2014-09-21 |
| 1619379799 | Behavior Solutions, LLC | Behavioral Analyst | 1032 Old Peachtree Rd Nw Ste 401, Pmb 518, Lawrenceville, GA 30043-3324 | 2014-09-21 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
Please comment or provide details below to improve the information on CHANTELLE S FULLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.