Individual
ASHLEY FISCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA-NY
Contact information
Practice address
26 ECKERNKAMP DR, SMITHTOWN, NY 11787-1771
(631) 793-9811
Mailing address
26 ECKERNKAMP DR, SMITHTOWN, NY 11787-1771
(631) 793-9811
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002826
NY
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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