Individual
MEGAN E FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5510 AVENUE I, BROOKLYN, NY 11234-1706
(347) 486-9058
Mailing address
209 SPENCER ST APT 5C, BROOKLYN, NY 11205-2075
(717) 475-8430
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
ABA
—
Enumeration date
08/26/2021
Last updated
08/26/2021
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