Individual
ANTHONY FANCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2785 CASON ST, LAFAYETTE, IN 47904-2843
(765) 237-9935
Mailing address
2207 DREXEL DR, LAFAYETTE, IN 47909-3908
(765) 479-4310
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
9370-47-1333
IN
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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