Individual
MR. ANTHONY THOMAS FISCHETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, BCBA
Contact information
Practice address
685 KAREN DR, TITUSVILLE, FL 32780-6985
(321) 431-7745
Mailing address
333 S ATLANTIC AVE, COCOA BEACH, FL 32931-2719
(585) 766-2012
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-9208
FL
Other
Enumeration date
02/11/2013
Last updated
02/11/2013
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