Most Relevant Information
Provider Data
| NPI Number: | 1003429184 |
| Provider Name: | EVAN P FISHER |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/28/2020 |
| Last Updated: | 08/31/2020 |
Provider Practice Location
700 COMMERCE DR STE 260
WOODBURY
MN
551259243
Practice Location Phone/Fax
| Phone: | 6513286286 |
| Fax: | 6513286281 |
Provider Mailing Location
700 COMMERCE DR STE 260
WOODBURY
MN
551259243
Provider Mailing Phone/Fax
| Phone: | 6513286286 |
| Fax: | 6513286281 |