Kaylyn Fuller

NPI 1720869316 · on the registry since 2023

Practice

Address: 125 S Cottage St Apt 324
Valley Stream, NY 11580
Phone: (516) 761-0209
Organisation at this address: Rising Stars Children Services
Rising Stars Intervention Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 163WI0500X
163WI0500X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-10-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York