Individual
GARRETT AUDREY FIZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PROVISIONAL LBA
Contact information
Practice address
3320 W 10TH ST, SEDALIA, MO 65301-2111
(660) 335-0091
Mailing address
3320 W 10TH ST, SEDALIA, MO 65301-2111
(660) 335-0091
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2026020306
MO
Other
Enumeration date
07/20/2026
Last updated
07/20/2026
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