Individual
ANTOINETTE JANIE-IDA FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA, COBA
Contact information
Practice address
4668 ERHART DR, LORAIN, OH 44053-4443
(216) 376-9805
Mailing address
4668 ERHART DR, LORAIN, OH 44053-4443
(216) 396-9805
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
COBA.01571
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/04/2018
Last updated
06/09/2025
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