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Kaylin Alise Fisher, BA

Behavior Technician in Oakland, CA. Individual provider (NPI-1).

NPI number1982195459
StatusActive
Last updated in NPPESMay 21, 2018

Details

NPI
1982195459
Entity type
Individual (NPI-1)
Name
Kaylin Alise Fisher
Credential
BA
Sex
Female
Sole proprietor
No
Enumeration date
May 21, 2018
Last updated
May 21, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

400 29th St Ste 204
Oakland, CA 94609-3547

Phone 510-679-3545

Mailing address

547 Buena Vista Ave Apt 104
Alameda, CA 94501-2059

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