IndividualActive
Dsire Fullwood
NPI 1366239956 · Behavior Technician · Canoga Park, CA
Dsire Fullwood is a Behavior Technician provider in Canoga Park, CA (NPI 1366239956).
Provider details
- NPI number
- 1366239956
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21201 Victory Blvd Ste 205
Canoga Park, CA 91303-4056
Phone: (888) 428-3223
Street-level locationGet directions
Mailing address
4221 Wilshire Blvd Ste 300a
Los Angeles, CA 90010-3537
Registry dates
- Enumerated
- 2025-04-24
- Last updated
- 2025-04-24
- Certified
- 2025-04-24
Frequently asked questions
- What is Dsire Fullwood's NPI number?
- Dsire Fullwood's National Provider Identifier (NPI) is 1366239956, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dsire Fullwood's specialty?
- Dsire Fullwood is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Dsire Fullwood located?
- Dsire Fullwood's practice location on file with NPPES is 21201 Victory Blvd Ste 205, Canoga Park, CA 91303-4056.
- What is Dsire Fullwood's phone number?
- The practice phone number listed in the NPPES registry for Dsire Fullwood is (888) 428-3223.
- Is Dsire Fullwood's NPI active?
- Yes — Dsire Fullwood's NPI (1366239956) is active in the NPPES registry as of the last update on 2025-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.