Individual
JOANN FISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSR
Contact information
Practice address
2360 INDIAN WELLS RD, ALAMOGORDO, NM 88310-4609
(575) 437-7404
(575) 439-2860
Mailing address
2360 INDIAN WELLS RD, ALAMOGORDO, NM 88310
(575) 437-7404
(575) 439-2860
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NM
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
09/01/2023
Last updated
09/01/2023
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