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Individual
KIMBERLY FISK
Active
Individual
KIMBERLY FISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBS, LMT
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41153
PA
225700000X
Massage Therapist
MSG014942
PA
Other
Enumeration date
02/27/2020
Last updated
11/01/2025
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