JENNIFER LYN FULLER
NPI 1609632421
Behavior Technician in Blaine, MN

Active since February 28, 2024
1114 112TH LN NE, BLAINE, MN 55434(612) 644-8021 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Lyn Fuller NPPES

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

JENNIFER LYN FULLER (NPI 1609632421) is an individual behavior technician in Blaine, Minnesota and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1609632421
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameJENNIFER LYN FULLER
Location Address1114 112TH LN NEBlaine, MN 55434-4547
Mailing Address1250 Moore Lake Dr EFridley, MN 55432-5134
Sole ProprietorNo
Enumeration DateFebruary 28, 2024
NPPES CertifiedFebruary 28, 2024
NPI 1609632421 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.
1114 112TH LN NE, Blaine, MN 55434

Other Providers at the Same Location NPPES 15

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

Behavior Technician
1114 112TH LN NE
BLAINE, MN 55434
Behavior Technician
1114 112TH LN NE
BLAINE, MN 55434
Assistant Behavior Analyst
1114 112TH LN NE
BLAINE, MN 55434
Behavior Technician
1114 112TH LN NE
BLAINE, MN 55434
Behavior Technician
1114 112TH LN NE
BLAINE, MN 55434
Behavior Technician
1114 112TH LN NE
BLAINE, MN 55434
Behavior Technician
1114 112TH LN NE
BLAINE, MN 55434
Behavior Technician
1114 112TH LN NE
BLAINE, MN 55434

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 Jennifer Fuller's NPI number?

The NPI number for Jennifer Fuller is 1609632421. It was assigned to this individual provider in the NPPES registry on February 28, 2024.

Where is Jennifer Fuller located?

Jennifer Fuller practices at 1114 112th Ln NE, Blaine, MN 55434. The listed phone number is (612) 644-8021.

What is Jennifer 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 Jennifer Fuller was last updated on February 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.