Individual
AMY FESLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
451 S PARK RIDGE RD STE 102, BLOOMINGTON, IN 47401-8589
(812) 822-0189
Mailing address
1824 TOUBY PIKE STE B, KOKOMO, IN 46901-2573
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300011469
—
IN
Enumeration date
09/29/2017
Last updated
12/05/2023
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