Individual
SAMANTHA FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
632 EASTERN BLVD, CLARKSVILLE, IN 47129-2463
(317) 249-2242
(317) 663-1175
Mailing address
12650 HAMILTON CROSSING BLVD, CARMEL, IN 46032-5400
(317) 249-2242
(317) 663-1175
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-18-32264
BCBA CERTIFICATE
IN
Enumeration date
02/23/2016
Last updated
09/11/2019
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