IndividualActive
Jennifer Fuller
NPI 1609632421 · Behavior Technician · Blaine, MN
Jennifer Fuller is a Behavior Technician provider in Blaine, MN (NPI 1609632421).
Provider details
- NPI number
- 1609632421
- 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
Established profile(50/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs 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
1114 112th Ln Ne
Blaine, MN 55434-4547
Phone: (612) 644-8021
Street-level locationGet directions
Mailing address
1250 Moore Lake Dr E
Fridley, MN 55432-5134
Registry dates
- Enumerated
- 2024-02-28
- Last updated
- 2024-02-28
- Certified
- 2024-02-28
Frequently asked questions
- What is Jennifer Fuller's NPI number?
- Jennifer Fuller's National Provider Identifier (NPI) is 1609632421, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Fuller's specialty?
- Jennifer Fuller is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Jennifer Fuller located?
- Jennifer Fuller's practice location on file with NPPES is 1114 112th Ln Ne, Blaine, MN 55434-4547.
- What is Jennifer Fuller's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Fuller is (612) 644-8021.
- Is Jennifer Fuller's NPI active?
- Yes — Jennifer Fuller's NPI (1609632421) is active in the NPPES registry as of the last update on 2024-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.