Fisher, Genesis Faith

Fisher, Genesis Faith is an individual health care provider with primary practice located at 3048 S Clifton Ave Ste 112 , Springfield MO 65807-6045. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Fisher, Genesis Faith can be contacted via phone (417) 818-5784.

Contact Information

Primary practice address
3048 S Clifton Ave Ste 112 Springfield MO 65807-6045
Phone: (417) 818-5784
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-23-308208 Missouri

Profile Details

NPI number 1174386601
LBN Legal business name Fisher, Genesis Faith
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2024
Last updated Feb 6th, 2024 - about 2 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.

Request for update

Popular Providers