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FULLER BEHAVIOR PROGRAM
NPI 1710246293
Counselor - Mental Health in Grand Prairie, TX

Active since May 03, 2012
2803 RIVERSIDE PKWY APT 4502, GRAND PRAIRIE, TX 75050(214) 760-9573 Get Directions Write a Review

NPPES record last updated: May 3, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Fuller Behavior Program NPPES

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

FULLER BEHAVIOR PROGRAM (NPI 1710246293) is a healthcare organization registered as a mental health in Grand Prairie, Texas and active in the NPI registry since May 2012. The organization lists Melvin Fuller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710246293
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameFULLER BEHAVIOR PROGRAM
Location Address2803 RIVERSIDE PKWY APT 4502Grand Prairie, TX 75050-8747
Mailing Address2803 Riverside Pkwy Apt 4502Grand Prairie, TX 75050-8747 · (214) 760-9573
Phone(214) 760-9573
Organization SubpartNo
Authorized OfficialMelvin FullerCeo · (214) 760-9573
Enumeration DateMay 3, 2012
✔ NPI 1710246293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2803 RIVERSIDE PKWY APT 4502, Grand Prairie, TX 75050
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Other Names 1

Doing Business AsFuller Behavior Program

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Fuller Behavior Program's NPI number?

The NPI number for Fuller Behavior Program is 1710246293. It was assigned to this organization in the NPPES registry on May 3, 2012.

Where is Fuller Behavior Program located?

Fuller Behavior Program is located at 2803 Riverside Pkwy Apt 4502, Grand Prairie, TX 75050. The listed phone number is (214) 760-9573.

What is Fuller Behavior Program's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Fuller Behavior Program was last updated on May 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.