DESIRAE L FULLER (NPI# 1992331136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992331136 |
| Entity Type | Individual |
| Full Name | DESIRAE L FULLER |
| Practice Address |
500 W Brasher Rd Trlr 103 Roswell NM 88203-5303 |
| Practice Telephone | 5758404359 |
| Mailing Telephone | 5758404359 |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Street Address |
500 W BRASHER RD TRLR 103 |
| City | ROSWELL |
| State | NM |
| Zip Code | 88203-5303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115586 | Katherine Bolin | Behavior Technician | 333 West Brasher Rd. #200, Roswell, NM 88203 | 2020-02-10 |
| 1437660040 | Pecos Valley Eye Surgery Center, LLC | Clinic/Center | 1610 Se Main Street, Roswell, NM 88203 | 2017-10-23 |
| 1285031286 | Wheelchair and Walker Rentals, Inc. | Durable Medical Equipment & Medical Supplies | 305 W Mcgaffey St, Roswell, NM 88203 | 2014-11-20 |
| 1447585914 | Whole World Health Care, PC | Pediatrics | 109 W. Bland, Roswell, NM 88203 | 2009-10-16 |
| 1780825372 | Complete Rehab Adult Services | Clinic/Center | 109 W Bland, Roswell, NM 88203 | 2009-03-12 |
| 1710127220 | Roswell Medical Care | Health Maintenance Organization | 111 W Hobbs, Roswell, NM 88203 | 2009-02-23 |
| 1336330513 | Savitri Aguiar | Internal Medicine | 1511 South Grand, Roswell, NM 88203 | 2007-08-05 |
| 1750455523 | Francisco Casio Bicol Jr. | Occupational Therapist | 200 W 1st St Ste 527, Roswell, NM 88203 | 2006-11-20 |
| 1699861542 | Susan Lee Voigt | Counselor | 200 W 1st, Ste 532, Roswell, NM 88203 | 2006-10-05 |
| 1245336940 | Founders Healthcare LLC | Durable Medical Equipment & Medical Supplies | 104 N Missouri Ave, Roswell, NM 88203 | 2006-09-16 |
| Find all providers in zip 88203 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | 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 may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143461 | Marika Deliyianni | Behavior Technician | 9645 Pine Thicket Way, Roswell, GA 30075-4331 | 2020-10-28 |
| 1114526373 | Rickie Garza | Behavior Technician | 23 Ruohonen Pl, Roswell, NM 88203-8419 | 2020-10-20 |
| 1699372086 | Whitney Walker | Behavior Technician | 700 N Missouri Ave Apt 4, Roswell, NM 88201-4859 | 2020-10-08 |
| 1891392486 | Kaitlyn Roe | Behavior Technician | 2609 Bay Meadows Dr, Roswell, NM 88201-5215 | 2020-10-06 |
| 1023615952 | Melissa Hernandez | Behavior Technician | 1009 Ivy Dr, Roswell, NM 88203-2546 | 2020-10-05 |
| 1053930917 | Haley Michelle Stotts | Behavior Technician | 1600 N Sycamore Ave Apt 208, Roswell, NM 88201-8894 | 2020-04-10 |
| 1609405554 | Johnathan Ortiz | Behavior Technician | 1016 Corralitos Rd, Roswell, NM 88201-9163 | 2020-04-03 |
| 1184252835 | Carrie Thompson | Behavior Technician | 3005 Delicado Dr, Roswell, NM 88201-6627 | 2020-03-30 |
| 1912535790 | Chelsie Jolene Jeakins | Behavior Technician | 1510 S Kansas Ave, Roswell, NM 88203-3730 | 2020-03-29 |
| 1174159446 | Heather Martinez | Behavior Technician | 508 Willow Dr, Roswell, NM 88203-1208 | 2020-03-19 |
| Find all providers in ROSWELL | ||||
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| 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.