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Individual

MS. AMANDA FISCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
200 N PATRICK BLVD STE 250, BROOKFIELD, WI 53045-5883
(888) 754-0398
Mailing address
N49W6757 WESTERN RD APT B, CEDARBURG, WI 53012-1863
(262) 894-4677

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
307-140
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-19-36448
BEHAVIOR ANALYST CERTIFICATION BOARD
01
307-140
DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
WI
Enumeration date
08/01/2019
Last updated
09/06/2023
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