Individual
CORTNEY ALLISON FISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, BCBA, LBA
Contact information
Practice address
205 PORTLAND ST, COLUMBIA, MO 65201-6521
(573) 884-6276
Mailing address
205 PORTLAND ST, COLUMBIA, MO 65201-6521
(573) 884-6276
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2012011210
MO
Other
Enumeration date
04/13/2012
Last updated
12/13/2016
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