Individual
NICOLE FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4359 KUKUI GROVE ST STE 102, LIHUE, HI 96766-2008
(808) 808-0808
Mailing address
316 MID VALLEY CTR # 186, CARMEL, CA 93923-8516
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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