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NPI Code Detail

MEDICARE: MRS. MELINDA LEE FISHER - WILKIN MSC SLT, BCBA

MEDICARE:  MRS. MELINDA LEE FISHER - WILKIN  MSC SLT, BCBA
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
1103K00000XBehavior Analyst1-11-9255OK

General Provider Information

NPI Number : 1811260359
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELINDA LEE FISHER - WILKIN MSC SLT, BCBA
Provider Business Mailing Address
First Line : 2208 W DETROIT ST
Second Line :
City : BROKEN ARROW
State : OK
Zip : 74012-3629
Country : US
Telephone Number : 918-900-6237
Fax Number :
Provider Business Practice Location Address
First Line : 2208 W DETROIT ST
Second Line :
City : BROKEN ARROW
State : OK
Zip : 74012-3629
Country : US
Telephone Number : 918-900-6237
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2012
Last Update Date : 04/02/2026

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Directions to “ MRS. MELINDA LEE FISHER - WILKIN MSC SLT, BCBA” Practice Location

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