Fisher, Makala Rose

Fisher, Makala Rose is an individual health care provider with primary practice located at 12201 Gayton Rd Ste 103 , Henrico VA 23238-8203. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Fisher, Makala Rose can be contacted via phone (804) 610-2332.

Contact Information

Primary practice address
12201 Gayton Rd Ste 103 Henrico VA 23238-8203
Phone: (804) 610-2332
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-20-43540 Virginia
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-17-39493 Washington
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 00003894 Washington

Profile Details

NPI number 1497255129
LBN Legal business name Fisher, Makala Rose
Credentials BCBA, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2018
Last updated Apr 7th, 2026 - about 6 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497255129 NPPES
Virginia Other 0133004551 COMMONWEALTH OF VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS
Virginia Other 1-20-43540 COMMONWEALTH OF VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS

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