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Individual
BRIAN FISHER
Active
Individual
BRIAN FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1732456
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020676500
—
FL
01
—
17-32456
RBT
FL
Enumeration date
04/21/2017
Last updated
07/21/2022
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