Individual
ANGELA FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 336-3909
(616) 336-8830
Mailing address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 336-3909
(616) 336-8830
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
61186431
WA
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
MI
Other
Enumeration date
03/24/2020
Last updated
11/03/2025
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