Individual
KAYLA FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
178 W VETERANS HWY, JACKSON, NJ 08527-3410
(201) 979-1336
Mailing address
175 BELGROVE DR, KEARNY, NJ 07032-1507
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
15BC00257300
NJ
Other
Enumeration date
08/29/2025
Last updated
09/18/2025
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