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NPI Code Detail

MEDICARE: ANITA ROSE FISHER RBT

MEDICARE: ANITA ROSE FISHER RBT
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
1106S00000XBehavior Technician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780193151
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANITA ROSE FISHER RBT
Provider Business Mailing Address
First Line : 1509 E COLONIAL DR STE 300
Second Line :
City : ORLANDO
State : FL
Zip : 32803-4729
Country : US
Telephone Number : 407-218-4371
Fax Number : 407-218-4304
Provider Business Practice Location Address
First Line : 500 E COLONIAL DR
Second Line :
City : ORLANDO
State : FL
Zip : 32803-4510
Country : US
Telephone Number : 407-218-4340
Fax Number : 407-218-4303
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2017
Last Update Date : 07/21/2022

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Directions to “ ANITA ROSE FISHER RBT” Practice Location

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