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General NPI Number Information
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NPI Number | 1538489612
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Entity Type | Individual
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Provider Name | BRITTANY NICOLE FULTON M.A., BCBA
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Gender | Female
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Dates
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Enumeration Date | 06/11/2010
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Last Update Date | 11/18/2015
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Provider Practice Location Address
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Address Line | 15 SAUNDERS WAY SUITE 900
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City | WESTBROOK
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State | ME
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Zip | 04092-4833
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Country | US
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Telephone | 207-878-9663
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Fax |
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Provider Business Mailing Address
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Address Line | 5 BRIDGE ST
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City | TOPSHAM
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State | ME
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Zip | 04086-1942
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Country | US
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Telephone | 630-725-8157
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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