P Praxis·MD
● Active Type 2 · Organization

Fuller Behavior Program

Counselor·Grand Prairie, TX· NPI 1710246293 · Enumerated 2012 · 14 years on NPI
Fuller Behavior Program is 1 of 11396 counselor organizations in Texas.
NPI age
14 years
Enumerated 2012-05-03
Primary specialty
Counselor
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fuller
Ceo
Last NPPES update
2012-05-03
Source: monthly bulk 2026-05

How this organization compares

Across 11396 active counselor providers in Texas.

NPI age
14 years
↑ 10 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2012 → 2026

2012-05Enumerated in NPPES
2012 2026

Where they practice

Primary practice location
2803 Riverside Pkwy Apt 4502
Grand Prairie, TX 750508747
📞 2147609573
Mailing address
2803 Riverside Pkwy Apt 4502
Grand Prairie, TX 750508747
📞 2147609573

Authorized official

Melvin Fuller
Ceo
📞 2147609573

Specialties

  • Counselor Primary
    Definition to come...
    taxonomy 101YM0800X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Fuller Behavior Program
    Type code 3 recorded 2012-05-03

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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