Individual
GENESIS FAITH FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1560 S 70TH ST, LINCOLN, NE 68506-1577
(402) 318-3105
Mailing address
3048 S CLIFTON AVE STE 112, SPRINGFIELD, MO 65807-6045
(417) 818-5784
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-308208
MO
Other
Enumeration date
02/06/2024
Last updated
08/05/2025
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