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Individual

BENJAMIN A FISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BCBA, LABA

Contact information

Practice address
167 WINTER ST, ASHLAND, MA 01721-1116
(508) 479-7648
Mailing address
167 WINTER ST, ASHLAND, MA 01721-1116
(508) 479-7648

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1904
NC
103K00000X
Behavior Analyst
95
MA

Other

Enumeration date
12/28/2011
Last updated
08/06/2024
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