Fuller, Endalech Renee
Fuller, Endalech Renee is an sole proprietor health care provider with primary practice located at 1445 Nw Mall St Ste 2 , Issaquah WA 98027-7900. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Fuller, Endalech Renee can be contacted via phone (425) 651-8117.Contact Information
Primary practice address
1445 Nw Mall St Ste 2
Issaquah WA 98027-7900
Phone: (425) 651-8117
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
| Behavioral Health & Social Service Providers / Assistant Behavior Analyst | 106E00000X | AB61505630 | Washington |
Profile Details
| NPI number | 1093472383 |
|---|---|
| LBN Legal business name | Fuller, Endalech Renee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2021 |
| Last updated | Mar 14th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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