DALISA SIMONE FULLER
NPI 1104383355
Behavior Technician in Cary, NC

Active since February 25, 2019
111 MACKENAN DR, CARY, NC 27511(980) 819-0010 Get Directions Write a Review

NPPES record last updated: February 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dalisa Simone Fuller NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DALISA SIMONE FULLER (NPI 1104383355) is an individual behavior technician in Cary, North Carolina and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1104383355
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameDALISA SIMONE FULLER
Location Address111 MACKENAN DRCary, NC 27511-7903
Mailing Address111 Mackenan DrCary, NC 27511-7903
Sole ProprietorYes
Enumeration DateFebruary 25, 2019
NPI 1104383355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
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.
111 MACKENAN DR, Cary, NC 27511

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
111 MACKENAN DR
CARY, NC 27511
Behavior Technician
111 MACKENAN DR
CARY, NC 27511
Behavior Technician
111 MACKENAN DR
CARY, NC 27511
Behavior Technician
111 MACKENAN DR
CARY, NC 27511
Behavior Analyst
111 MACKENAN DR
CARY, NC 27511
Behavior Technician
111 MACKENAN DR
CARY, NC 27511
Behavior Technician
111 MACKENAN DR
CARY, NC 27511
Behavior Technician
111 MACKENAN DR
CARY, NC 27511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dalisa Fuller's NPI number?

The NPI number for Dalisa Fuller is 1104383355. It was assigned to this individual provider in the NPPES registry on February 25, 2019.

Where is Dalisa Fuller located?

Dalisa Fuller practices at 111 Mackenan Dr, Cary, NC 27511. The listed phone number is (980) 819-0010.

What is Dalisa Fuller's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Dalisa Fuller was last updated on February 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.