MR. Albert Fisk III, HS

NPI #1821075482 in Novi, Michigan

Provider Information

NPI Number: 1821075482
Entity Type: Individual
Name: MR. Albert Fisk III, HS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: HS
Enumeration Date: Dec 27, 2005
Last Updated: Jan 4, 2019

Practice Location

Address: 41521 W 11 MILE RD
City: Novi
State: Michigan
ZIP Code: 48375-1803
Phone: (248) 299-0030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X
Behavior Technician	106S00000X	Primary

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