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Individual

BRANDI ANNA-LIZA D. FISHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
2003 RYLAN RD, MAHOMET, IL 61853-4227
(719) 401-1706
Mailing address
PO BOX 858, MAHOMET, IL 61853-0858
(719) 401-1706

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-65323
CO

Other

Enumeration date
05/02/2023
Last updated
09/25/2023
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