Individual
JOLENE J FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED
Contact information
Practice address
5 GORHAM LANE, DIX HILLS, NY 11746
(516) 398-9512
Mailing address
5 GORHAM LANE, DIX HILLS, NY 11746
(516) 398-9512
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NY
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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