Individual
ANISA ROSALIE FAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 SUDBROOK LN STE F, PIKESVILLE, MD 21208-4184
(443) 353-9547
Mailing address
115 SUDBROOK LN STE A, PIKESVILLE, MD 21208-4184
(443) 353-9547
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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