Fisher, Brian
Fisher, Brian is an individual health care provider with primary practice located at 475 S John Rodes Blvd , Melbourne FL 32904-1093. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Fisher, Brian can be contacted via phone (321) 241-1170.Contact Information
Primary practice address
475 S John Rodes Blvd
Melbourne FL 32904-1093
Phone: (321) 241-1170
Fax: (321) 241-1171
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | 1732456 | Florida |
Profile Details
| NPI number | 1801321336 |
|---|---|
| LBN Legal business name | Fisher, Brian |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2017 |
| Last updated | Jul 21st, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801321336 | NPPES |
| Florida | Other | 17-32456 | RBT |
| Florida | MEDICAID | 020676500 | RBT |
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