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Chantelle S Fuller , BCBA

Behavior Analyst β€’ Lawrenceville, GA

Active NPI 1669957320 Individual Practitioner Female Practitioner
Practice location in NPPES

805 Donington Cir
Lawrenceville, GA 30045

Call 7703719984 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

805 Donington Cir

Lawrenceville, GA 30045

Telephone 7703719984
Organization at the Same NPPES Address or Phone
Smiley Face Behavioral Therapy Llc Facility NPI 1427691732

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Cumming, GA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Lawrenceville and Georgia

78 active clinicians are listed under Behavior Analyst with a practice address in Lawrenceville, GA (2,711 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lawrenceville

0% of these 78 clinicians have the CMS telehealth indicator.

0% of these 78 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES GA 1-18-31744

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Secondary Practice Locations

2450 Atlanta Hwy Ste 901

Cumming, GA 300401252

Phone: 4702288980

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location October 21, 2019

Registered at 805 DONINGTON CIR, LAWRENCEVILLE, GA 30045 (Tel: 7703719984)

πŸ“
Updated Business Mailing Address October 21, 2019

Registered at 805 DONINGTON CIR, LAWRENCEVILLE, GA 300453579 (Tel: 7703719984)

πŸ“
Updated Practice Location October 02, 2019

Registered at 2450 ATLANTA HWY STE 901, CUMMING, GA 300401252 (Tel: 4702288980)

πŸ“
Updated Business Mailing Address October 02, 2019

Registered at 2450 ATLANTA HWY STE 901, CUMMING, GA 300401252 (Tel: 4702288980)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2019

Behavior Analyst (license number reported to NPPES: GA 1-18-31744)

πŸ“
Updated Practice Location April 22, 2019

Registered at 2295 HENRY CLOWER BLVD STE 100, SNELLVILLE, GA 300785707 (Tel: 7709959600)

πŸ“
Updated Business Mailing Address April 22, 2019

Registered at 2295 HENRY CLOWER BLVD STE 100, SNELLVILLE, GA 300785707 (Tel: 7709959600)

βœ…
NPI Profile Active September 28, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 28, 2018

Registered at 1776 CENTURY BLVD NE STE A, ATLANTA, GA 303453397 (Tel: 6789742162)

πŸ“
Business Mailing Address (Initial Record) September 28, 2018

Registered at 805 DONINGTON CIRCLE, LAWRENCEVILLE, GA 30045 (Tel: 7703719984)

πŸ‘€
Provider Name / Credentials (Initial Record) September 28, 2018

Recorded as CHANTELLE FULLER, BCBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2018

Behavior Analyst

🟒
Initial NPI Registration & Enumeration September 28, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1669957320
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2018
Last Update: October 21, 2019
Sole Proprietor: No

Mailing Address

805 Donington Cir

Lawrenceville, GA 300453579

Phone: 7703719984

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.