MEDICARE: ALEXANDER MATTHEW FISHER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-24-387492	TX

General Provider Information

NPI Number	:	1417811043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER MATTHEW FISHER

Provider Business Mailing Address
First Line	:	1030 DALLAS DR APT 513
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76205-5202
Country	:	US
Telephone Number	:	414-507-9729
Fax Number	:

Provider Business Practice Location Address
First Line	:	1030 DALLAS DR APT 513
Second Line	:
City	:	DENTON
State	:	TX
Zip	:	76205-5202
Country	:	US
Telephone Number	:	414-507-9729
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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Directions to “ ALEXANDER MATTHEW FISHER ” Practice Location

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